Search › Arkansas › 163WG0000X
Phylana Carruth, RN
NPI 1760156954 · on the registry since 2021
Practice
- Address
- 915 W B St
Russellville, AR 72801 - Phone
- (479) 968-1777
- Fax
- (479) 967-1111
- Organisation at this address
- Pkc Medical Supplies
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163WG0000X
163WG0000X
- Licence states on file
- AR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas