Individual
MRS. SYLVIA TAWANDA RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(706) 988-0862
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(706) 988-0862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN182996
GA
Other
Enumeration date
04/20/2015
Last updated
09/14/2020
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