Dr. Myra Lynn Rutland, DNP
Nurse Practitioner, Family in Philadelphia, PA. Individual provider (NPI-1).
NPI number1982246682
StatusActive
Last updated in NPPESJan 3, 2025
Details
- NPI
- 1982246682
- Entity type
- Individual (NPI-1)
- Name
- Dr. Myra Lynn Rutland
- Credential
- DNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2019
- Certification date
- Jan 3, 2025
- Last updated
- Jan 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | SP020970 | PA | Yes |
Other names
- Myra Lynn Underwood-Rutland (Professional Name)
Practice location
5201 Haverford AvePhiladelphia, PA 19139-1401
Phone 215-472-6097
Mailing address
5201 Haverford AvePhiladelphia, PA 19139-1401
Phone 267-471-2761 · Fax 215-472-6092
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