Individual
MARK P RUSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
76 PEACHTREE ROAD, SUITE 300, ASHEVILLE, NC 28803-3505
(828) 274-3477
(828) 274-7407
Mailing address
76 PEACHTREE ROAD, SUITE 300, ASHEVILLE, NC 28803-3505
(828) 274-3477
(828) 274-7407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
83844
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
039500
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8051221
—
NC
05
—
AN1640
—
SC
Enumeration date
11/13/2006
Last updated
09/17/2012
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