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Individual

ANGALESIA RUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
12000 SHAKER BLVD, CLEVELAND, OH 44120-1922
(216) 472-3216
Mailing address
12000 SHAKER BLVD, CLEVELAND, OH 44120-1922
(216) 313-7583

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
COA.15837-NP
OH
363LA2200X
Adult Health Nurse Practitioner
COA.15837-NP
OH
363LC1500X
Community Health Nurse Practitioner
COA.15837-NP
OH
363LG0600X
Gerontology Nurse Practitioner
COA.15837-NP
OH
363LP2300X
Primary Care Nurse Practitioner
COA.15837-NP
OH
363LW0102X
Women's Health Nurse Practitioner
Primary
COA.15837-NP
OH

Other

Enumeration date
04/29/2014
Last updated
04/30/2014
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