Individual provider · Type 1 NPI
Lisa Marie Rutherford, NP
Nurse Practitioner · Winston Salem, NC
Practice location
2085 Frontis Plaza Blvd
Winston Salem, NC 27103-5614
Fax (704) 316-9208
Mailing address
PO Box 751803
Charlotte, NC 28275-1803
Other practice locations
- 15235 John J Delaney Dr Ste B, Charlotte, NC 28277-2846 · (704) 384-7300
- 3614 Providence Rd S Ste 200, Waxhaw, NC 28173-6310 · (704) 384-8640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5007387 (NC) |
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 1871982157
Lisa Marie Rutherford, NP's National Provider Identifier is 1871982157, issued on Jan 9, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Nov 17, 2021.