IndividualActive
Phil Rutledge
NPI 1104780279 · Infusion Therapy Registered Nurse · Jefferson City, MO
Provider details
- NPI number
- 1104780279
- Entity type
- Individual
- Primary specialty
- Infusion Therapy Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2020027391 (MO)
Mailing address
5402 Bus 50 W Unit 1
Jefferson City, MO 65109
Registry dates
- Enumerated
- 2025-12-12
- Last updated
- 2025-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.