MS. ALEXANDRA MARIE RUTHERFORD MS RN PHN AGPCNP NPI 1285290726

NPI Information

NPI: 1285290726
Provider Name: MS. ALEXANDRA MARIE RUTHERFORD, MS, RN, PHN, AGPCNP
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

PECOS Registration: Yes

Address:
4150 CLEMENT STREET
SAN FRANCISCO, CA
ZIP 94121
Phone: (415) 221-4810
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MS. Alexandra Marie Rutherford, MS, RN, PHN, AGPCNP is a primary care nurse practitioner in San Francisco, CA. MS. Alexandra Marie Rutherford, MS, RN, PHN, AGPCNP NPI is 1285290726. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4150 CLEMENT STREET
SAN FRANCISCO, CA
ZIP 94121-545
Phone: (415) 221-4810

The NPI 1285290726 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2019 and was last updated on 1/4/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	95012397	CALIFORNIA	Yes
2	163W00000X	Registered Nurse		95136326	CALIFORNIA	No
3	163WC1500X	Registered Nurse	Community Health	558319	CALIFORNIA	No
4	363LA2200X	Nurse Practitioner	Adult Health	95012397	CALIFORNIA	No
5	363LG0600X	Nurse Practitioner	Gerontology	95012397	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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