Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | AP127924 | TX |
Y | 363LA2200X | Nurse Practitioner - Adult Health | C-APN.0001000-C-NP | CO |
NPI | 1013303726 |
---|---|
Provider Name | Rachel Rucker |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2015 |
Last Update Date | 16/08/2019 |