Gina Rutherford
Peer Specialist in Tulsa, OK. Individual provider (NPI-1).
NPI number1831887876
StatusActive
Last updated in NPPESApr 27, 2023
Details
- NPI
- 1831887876
- Entity type
- Individual (NPI-1)
- Name
- Gina Rutherford
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 27, 2023
- Certification date
- Apr 27, 2023
- Last updated
- Apr 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | OK | Yes |
Practice location
6333 E Skelly DrTulsa, OK 74135-6106
Phone 800-680-8979
Mailing address
6333 E Skelly DrTulsa, OK 74135-6106
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