| Carrie L Rutledge, FNP | |
|
965 Mattox Dr, Sullivan, MO 63080-2365 | |
| (573) 860-6000 | |
| (573) 860-6016 |
| Full Name | Carrie L Rutledge |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 965 Mattox Dr, Sullivan, Missouri |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992183511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 2015007302 (Missouri) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 2015007302 (Missouri) | Secondary |
| Entity Name | Mercy Clinic Springfield Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
| Entity Name | Mercy Clinic East Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043574940 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058 |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie L Rutledge, FNP Po Box 959318, Saint Louis, MO 63195-9318 Ph: (573) 860-6000 | Carrie L Rutledge, FNP 965 Mattox Dr, Sullivan, MO 63080-2365 Ph: (573) 860-6000 |
Mrs. Amy E Torres, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 |
Nicole Herbel, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 |
Miranda Mae Pickens, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1326 S Service Rd W, Sullivan, MO 63080 Phone: 578-468-4455 |
Mary J Bjornstad, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016 |
Allyson Marie Byron, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016 |
Mrs. Kamealya Leah Farrell, FNP-C, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1326 S Service Rd W Ste 10, Sullivan, MO 63080 Phone: 573-468-4455 |
Ms. Judy Ann Bartle, APRN, BC, FNPGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 965 Mattox Dr, Sullivan, MO 63080 Phone: 573-860-6000 Fax: 573-860-6016 |