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Individual

MRS. AMANDA LEE RUCIENSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
4229 BARDSTOWN RD STE 218, LOUISVILLE, KY 40218-3266
(502) 749-7008
(502) 749-7012
Mailing address
378 W CHESTNUT ST STE 103, WASHINGTON, PA 15301-4661
(412) 660-7064

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3013812
KY
363LF0000X
Family Nurse Practitioner
123636
WV
363LF0000X
Family Nurse Practitioner
28255373A
IN
363LF0000X
Family Nurse Practitioner
APRN.CNP.026313
OH
363LF0000X
Family Nurse Practitioner
Primary
SP013267
PA

Other

Enumeration date
08/09/2013
Last updated
10/16/2025
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