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Individual

MRS. LEANN M RUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
6520 SE 14TH ST, DES MOINES, IA 50320-1846
(515) 266-1199
Mailing address
6520 SE 14TH ST, DES MOINES, IA 50320-1846
(515) 953-1500

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A134449
IA
363LF0000X
Family Nurse Practitioner
A134449
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A134449
ARNP LICENSE
IA
Enumeration date
06/15/2017
Last updated
12/05/2024
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