Individual
DEANNA MARGARET RUCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3950 HOLLYWOOD RD STE 270, SAINT JOSEPH, MI 49085-9158
(269) 983-0500
(269) 429-2240
Mailing address
2500 NILES AVE., ST. JOSEPH, MI 49085
(269) 983-8282
(269) 985-4535
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704261973
MI
363LF0000X
Family Nurse Practitioner
71009611A
IN
Other
Enumeration date
04/24/2018
Last updated
10/23/2020
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