person
Ruby Mccain, NP
Family Nurse Practitioner in West Allis, Wisconsin
NPI 1437530813

Ruby Mccain is a Family Nurse Practitioner based in Rockford, WI and is specialized in Family. Ruby Mccain practices in West Allis, WI and has the professional credentials of NP. The NPI Number for Ruby Mccain is 1437530813 and holds a License No. 209012869 (Wisconsin).

The current practice location address for Ruby Mccain is 2514 S 102Nd St, West Allis, WI and can be reached out via phone at 414-255-0300 and via fax at 414-543-9601. You can also correspond with Ruby Mccain through the mailing address at 1200 W STATE ST, ROCKFORD, IL - 61102-2112 (mailing address contact number: 815-490-1616).

Location: 2514 S 102Nd St, West Allis, WI, 61102-2112
person
Provider Profile Details
NPI Number
1437530813
Provider Name
Ruby Mccain
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2514 S 102Nd St, West Allis, WI, 61102-2112
Phone Number
414-255-0300
Fax Number
414-543-9601
Provider Enumeration Date
06/11/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6200-33 01 WI NP LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
2514 S 102Nd St
City
State
Zip
53227-2142
Phone Number
414-255-0300
Fax Number
414-543-9601
person
Provider Business Mailing Address Details
Address
1200 W State St
City
State
Zip
61102-2112
Phone Number
815-490-1616
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
6200-33 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209012869 (Illinois)
Definition
Definition to come...
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