Individual
YVONNE S RUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
500 S CLEVELAND AVE, WESTERVILLE, OH 43081-8971
(740) 803-5511
Mailing address
500 S CLEVELAND AVE, WESTERVILLE, OH 43081-8971
(740) 803-5511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN217829
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA.16438-NP
OH
Other
Enumeration date
08/20/2014
Last updated
07/27/2021
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