| Doctor Name: | JOAN ELIZABETH CARRUTH |
| NPI Number: | 1508097908 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 04404221 |
| Business Practice Address: | 8 Interchange Dr West Lebanon, NH - 037842003 |
| Business Phone Number: | 6032982146 |
| Business Fax Number: | |
| Mailing Address: | 639 Granite St, BRAINTREE |
| State: | MA |
| Postal Code: | 021845366 |
| Phone Number: | 7813556801 |
| Fax Number: | |
| NPI Enumeration Date: | 08/03/2009 |
| NPI Last Update Date: | 08/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WA0400X |
| License Number: | 04404221 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |