Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Serice Rutherford

Individual provider Community Health Worker · NPI 1063364610

Nicole Serice Rutherford is a Community Health Worker in Calumet, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

56720 Calumet Ave
Calumet, MI 49913-1904
Phone: (906) 483-1177
Fax: (906) 372-3230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X (MI)

Record details

NPI number1063364610
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026

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