National Provider Identifier

Staci M Ruck, RN

Staci M Ruck, RN is listed in the NPPES registry with a primary specialty of Home Health Registered Nurse in Alexander, NY and a listed phone number of (585) 708-4036.

NPI 1619128097Alexander, NYHome Health Registered Nurse

Profile Overview

NPI
1619128097
Provider Type
Individual
Primary Specialty
Home Health Registered Nurse
Enumeration Date
October 03, 2008
Last Updated
October 03, 2008

Practice Location

  • 3270 Buffalo St
  • Alexander, NY 14005-9701

Phone: (585) 708-4036

Mailing Address

  • 3270 Buffalo St
  • PO Box 57
  • Alexander, NY 14005-9701

Specialties

  • Home Health Registered Nurse (163WH0200X)
Full Record
NPI
1619128097
Entity Type
Individual
Last Name
Ruck
First Name
Staci
Middle Name
M
Credential
RN
Mailing Street Address
3270 Buffalo St
Mailing Address Line 2
PO Box 57
Mailing City
Alexander
Mailing State
NY
Mailing ZIP Code
14005-9701
Mailing Country
US
Mailing Phone
(585) 708-4036
Practice Street Address
3270 Buffalo St
Practice City
Alexander
Practice State
NY
Practice ZIP Code
14005-9701
Practice Country
US
Practice Phone
(585) 708-4036
Enumeration Date
October 03, 2008
Last Updated
October 03, 2008
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Home Health Registered Nurse (163WH0200X)