Individual
MARK RICHARD RUGARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
205 E. HIRST ROAD, SUITE 203, PURCELLVILLE, VA 20132-6602
(540) 751-0255
(540) 751-0466
Mailing address
224-D CORNWALL STREET, NW., SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024187734
VA
363LF0000X
Family Nurse Practitioner
F06211748
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326619669
—
VA
05
—
30015421980002
—
VA
Enumeration date
07/07/2021
Last updated
10/18/2023
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