Individual provider · Type 1 NPI

Gabrielle Arline Rutherford

Nurse Practitioner · Green Bay, WI

NPI number 1295534634 Active

Practice location

2581 Development Dr
Green Bay, WI 54311-4247

Fax (920) 347-0868

Mailing address

1035 Kepler Dr
Green Bay, WI 54311-8320

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X25197330 (WI)
Nurse Practitioner Primary 363L00000X25197330 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295534634

Gabrielle Arline Rutherford's National Provider Identifier is 1295534634, issued on Mar 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Green Bay, WI. The record was last updated on May 19, 2026.