Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
EDLA J RUCKER
Active
Individual
EDLA J RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NURAPRNLIC235271
MT
363LF0000X
Family Nurse Practitioner
10100
OH
363LF0000X
Family Nurse Practitioner
CNP-03224
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2943499
—
OH
05
—
3810017550
—
WV
01
—
P01046643
RAILROAD MEDICARE
OH
05
—
WV1240A
—
WV
Enumeration date
08/19/2008
Last updated
12/11/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers