Courtney Christina Rucks, R.N.
Individual provider Active NPI Registered Nurse · Cottage Grove, WI
NPI 1780997403 · NPPES record last updated Jul 22, 2010
Key facts
- NPI
- 1780997403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 173551-30 (WI)
- Practice address
- 724 Chestnut CRST
Cottage Grove, WI 53527-9116 - Phone
- (608) 575-5201
- NPI assigned
- Jul 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173551-30 | WI | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 173551-30 | WI | Yes |
Addresses
Primary practice location
724 Chestnut CRST
Cottage Grove, WI 53527-9116
Mailing address
207 Benton St
Cambridge, WI 53523-9438
Phone (608) 575-5201
Other providers in Cottage Grove, WI
- Colleen Grace Pallardy
- Pediatric Therapy Garden
- Amanda J Pennekamp
- Lisa M Pietrowiak
- Katie Lyn Poole
- Caroline Jean Ruppert
- Lane Michael Schemel
- Elizabeth Schnell
- Shared Medical Services, Inc.
- Sheryl Spitzer -Resnick MD, LLC
All providers in Cottage Grove, WI · Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 22, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.