Individual
ASHLEY NICHOLE RUCKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 877-2000
Mailing address
66 MARTIN LN, NORWOOD, PA 19074-1025
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP032270
PA
Other
Enumeration date
02/21/2025
Last updated
03/29/2025
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