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Edla J Rucker, NP
Family Nurse Practitioner in Great Falls, Montana
NPI 1467609784

Edla J Rucker is a Family Nurse Practitioner based in Great Falls, MT and is specialized in Family. Edla J Rucker practices in Great Falls, MT and has the professional credentials of NP. The NPI Number for Edla J Rucker is 1467609784 and holds a License No. 10100 (Montana).

The current practice location address for Edla J Rucker is 405 3Rd St Nw Ste 102&103, Great Falls, MT and can be reached out via phone at 406-430-2035.

Location: 405 3Rd St Nw Ste 102&103, Great Falls, MT, 59404-4111
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Provider Profile Details
NPI Number
1467609784
Provider Name
Edla J Rucker
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
405 3Rd St Nw Ste 102&103, Great Falls, MT, 59404-4111
Phone Number
406-430-2035
Fax Number
Provider Enumeration Date
08/19/2008
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2943499 05 OH
WV1240A 05 WV
P01046643 01 OH RAILROAD MEDICARE
3810017550 05 WV
institution
Provider Business Practice Location Address Details
Address
405 3Rd St Nw Ste 102&103
City
State
Zip
59404-4111
Phone Number
406-430-2035
Fax Number
person
Provider Business Mailing Address Details
Address
405 3Rd St Nw Ste 102&103
City
State
Zip
59404-4111
Phone Number
406-430-2035
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10100 (Ohio)
Definition
Definition to come...
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