Provider Demographics
NPI:1881429207
Name:RUCH, NICHOLE M (RN)
Entity type:Individual
Prefix:
First Name:NICHOLE
Middle Name:M
Last Name:RUCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4050 PIEDMONT PKWY
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9458
Mailing Address - Country:US
Mailing Address - Phone:336-289-8648
Mailing Address - Fax:
Practice Address - Street 1:4050 PIEDMONT PKWY
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-9458
Practice Address - Country:US
Practice Address - Phone:336-289-8648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK200418163W00000X
CA95288511163W00000X
MN2502585163W00000X
NV853952163W00000X
MI4704389409163W00000X
CT192320163W00000X
HIRN-107191-0163W00000X
IL041532854163W00000X
NY885179163W00000X
MARN2365406163W00000X
OR202207442RN163W00000X
PARN756754163W00000X
CORN.0198624163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse