Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BROOKE RUCKER
Active Sole ProprietorBROOKE RUCKER is a 405300000X healthcare provider located in WAXHAW, North Carolina. NPI 1285406264 is currently active in the NPPES registry. Verify at CMS.
405300000X · WAXHAW, NC
Registration Details
- NPI Number
- 1285406264
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 24, 2023 (2.8493649533507 yrs)
- Last Updated
- Mar 7, 2024
- License
-
1003584525 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5021 HEDGEBROOK LNWAXHAW, NC, 281737073Browse NC providers · Browse ZIP 28173
- Phone
- 5025418285
- Primary Specialty
-
405300000X
405300000X
- Additional Specialty
- 405300000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.