Individual
MARIAREVE RUCINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
600 N WESTHAVEN DR, OSHKOSH, WI 54904-6926
(920) 237-5000
(920) 237-5011
Mailing address
600 N WESTHAVEN DR, OSHKOSH, WI 54904-6926
(920) 237-5000
(920) 237-5011
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
12010
WI
363L00000X
Nurse Practitioner
612124
TX
363LA2200X
Adult Health Nurse Practitioner
12010
WI
Other
Enumeration date
04/25/2006
Last updated
04/04/2023
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