Individual provider · Type 1 NPI

Maricarolyn Rucker

Family Nurse Practitioner · St. Louis, MO

NPI number 1467780304 Active

Practice location

6071 Telegraph Rd
St. Louis, MO 63129-4758

Call (866) 825-3227 Map

Mailing address

161 Washington St, Eight Tower Suite 1400
Conshohocken, PA 19428-2083

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X141660 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1467780304

Maricarolyn Rucker's National Provider Identifier is 1467780304, issued on Dec 4, 2009. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 4, 2009.