Provider Demographics
NPI:1588853006
Name:CARUTHERS, KATHLEEN RUTH (RN ACNP)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:RUTH
Last Name:CARUTHERS
Suffix:
Gender:F
Credentials:RN ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 S 400 E
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770
Mailing Address - Country:US
Mailing Address - Phone:435-673-3528
Mailing Address - Fax:435-628-6425
Practice Address - Street 1:620 S 400 E
Practice Address - Street 2:SUITE 400
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770
Practice Address - Country:US
Practice Address - Phone:435-673-3528
Practice Address - Fax:435-628-6425
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT57296883102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse