Active NPIIndividual provider

Katherine S Rutt, APRN

Nurse Practitioner, Family in Enfield, Connecticut

NPI Number1073980207
Practice location
155 Hazard Ave Ste 5-6, Enfield, CT 06082-4580
Fax
860-763-7676
Last updated
December 15, 2023

Katherine Snow Rutt is a Nurse Practitioner, Family based in Enfield, CT. Katherine Snow Rutt practices in Enfield, CT and has the professional credentials of APRN. The NPI Number for Katherine Snow Rutt is 1073980207 and holds a License No. 26NJ00583300 (NJ). The current practice location address for Katherine Snow Rutt is 155 Hazard Ave Ste 5-6, Enfield, CT 06082-4580 and can be reached out via phone at 860-763-7668 and via fax at 860-763-7676.

Provider Profile Details

NPI Number
1073980207
Provider Name
Katherine Snow Rutt
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
155 Hazard Ave Ste 5-6, Enfield, CT 06082-4580
Phone Number
860-763-7668
Fax Number
860-763-7676
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2015
Last Update Date
December 15, 2023
Certification Date
December 15, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
155 Hazard Ave Ste 5-6
Enfield, CT 06082-4580
Zip
06082-4580
Phone Number
860-763-7668
Fax Number
860-763-7676
Enfield, CT 06082Get directions →

Provider Business Mailing Address Details

Address
155 Hazard Ave Ste 5-6
Enfield, CT 06082-4580
City
Enfield
State
CT
Zip
06082-4580
Phone Number
860-763-7668
Fax Number
860-763-7676

License Information

License Number (1)
26NJ00583300
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN2311289
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X
License Number (3)
9980
License State (3)
CT
Taxonomy (3)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katherine S Rutt, APRN?

The NPI number of Katherine S Rutt, APRN is 1073980207. It was assigned on August 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Katherine S Rutt, APRN?

Katherine S Rutt, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00583300.

Where does Katherine S Rutt, APRN practice?

The practice location is 155 Hazard Ave Ste 5-6, Enfield, CT 06082-4580. The office can be reached at 860-763-7668 (phone) or 860-763-7676 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073980207 directly on the NPPES registry website.

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