Individual
STEPHANIE A RUCQUOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2403 W MAIN ST, HENRYETTA, OK 74437-3893
(918) 652-9650
Mailing address
1145 S UTICA AVE STE 110, TULSA, OK 74104-4013
(918) 652-9650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210661
OK
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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