IndividualActive
Phylana Carruth, RN
NPI 1760156954 · General Practice Registered Nurse · Russellville, AR
Provider details
- NPI number
- 1760156954
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- R104827 (AR)
Practice location
915 W B St
Russellville, AR 72801-3501
Phone: (479) 968-1777
Fax: (479) 967-1111
Mailing address
915 W B St
Russellville, AR 72801-3501
Registry dates
- Enumerated
- 2021-08-03
- Last updated
- 2023-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.