BETTY RUCKER, LPN
Licensed Practical Nurse
Active
Individual
NPI: 1417213133
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | Yes | 043.061782 (IL) |
Frequently Asked Questions
NPI 1417213133 is the National Provider Identifier for BETTY RUCKER, LPN, a Licensed Practical Nurse provider located in Johnston City, IL. This NPI was enumerated on April 6, 2012.
BETTY RUCKER, LPN practices at 14410 ROUTE 37, Johnston City, IL 62951.
Quick Facts
- NPI
- 1417213133
- Type
- Individual
- Enumerated
- Apr 6, 2012
- Last Updated
- Apr 6, 2012
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