JONATHAN HOWELL RUTHERFORD

SIERRA VISTA, AZ
NPI1154091932
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: AZ  260129)
Enumeration Date2021-09-14
Last Update Date2022-02-10
Business Address
JONATHAN HOWELL RUTHERFORD PMHNP
155 CALLE PORTAL STE 300
SIERRA VISTA, AZ 85635-2900
Phone number: 520-459-3011
Mailing Address
JONATHAN HOWELL RUTHERFORD PMHNP
1205 N F AVE
DOUGLAS, AZ 85607-1920
Phone number: 520-364-6852