Doctor Name: | RUTHANN MARIE TUCKER |
NPI Number: | 1023367752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN |
License Number: | A01348 |
Business Practice Address: | 161 Hillcrest Rd Eureka Springs, AR - 726319080 |
Business Phone Number: | 4792535815 |
Business Fax Number: | |
Mailing Address: | 161 Hillcrest Rd, EUREKA SPRINGS |
State: | AR |
Postal Code: | 726319080 |
Phone Number: | 4792535815 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2012 |
NPI Last Update Date: | 11/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | A01348 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |