Individual provider · Type 1 NPI
Ashley Nichole Rucko
Psychiatric/Mental Health Nurse Practitioner · Philadelphia, PA
NPI number
1609672476
Active
Practice location
4200 Monument Rd
Philadelphia, PA 19131-1625
Mailing address
66 Martin Ln
Norwood, PA 19074-1025
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | SP032270 (PA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1609672476
Ashley Nichole Rucko's National Provider Identifier is 1609672476, issued on Feb 21, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Philadelphia, PA. The record was last updated on Mar 29, 2025.