Provider Demographics
NPI:1952766974
Name:RUCH, JOAN M (RN)
Entity Type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:M
Last Name:RUCH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MISS
Other - First Name:JOAN
Other - Middle Name:M
Other - Last Name:RUCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13676 W RUCH RD
Mailing Address - Street 2:
Mailing Address - City:EXELAND
Mailing Address - State:WI
Mailing Address - Zip Code:54835
Mailing Address - Country:US
Mailing Address - Phone:715-943-2223
Mailing Address - Fax:
Practice Address - Street 1:702 FRONT STREET
Practice Address - Street 2:
Practice Address - City:SPOONER
Practice Address - State:WI
Practice Address - Zip Code:54801
Practice Address - Country:US
Practice Address - Phone:715-635-3539
Practice Address - Fax:715-635-3086
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2015-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6338630163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health