Individual provider · Type 1 NPI
Phylana K. Carruth, RN
General Practice Registered Nurse · Russellville, AR
NPI number
1760156954
Active
Practice location
915 W B St
Russellville, AR 72801-3501
Fax (479) 967-1111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | R104827 (AR) |
General Practice Registered Nurse: Definition to come...
Another provider at this address
About NPI 1760156954
Phylana K. Carruth, RN's National Provider Identifier is 1760156954, issued on Aug 3, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Russellville, AR. The record was last updated on Dec 13, 2023.