Individual provider · Type 1 NPI

Deanna Margaret Rucano, NP

Nurse Practitioner · St. Joseph, MI

NPI number 1174011316 Active

Practice location

3950 Hollywood Rd Ste 270
St. Joseph, MI 49085-9158

Call (269) 983-0500 Map

Fax (269) 429-2240

Mailing address

2500 Niles Ave.
St. Joseph, MI 49085

Other practice locations

410 S Main St, Goshen, IN 46526-3947 · (574) 533-2510

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	71009611A (IN)
Nurse Practitioner Primary	363L00000X	4704261973 (MI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174011316

Deanna Margaret Rucano, NP's National Provider Identifier is 1174011316, issued on Apr 24, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Joseph, MI. The record was last updated on Oct 23, 2020.