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NPI Code Detail

MEDICARE: WILLIAM RUZICKA ARNP

MEDICARE: WILLIAM RUZICKA ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse PractitionerAP60757129WA
2363LF0000XFamily Nurse PractitionerAP60757129WA

General Provider Information

NPI Number : 1851826986
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM RUZICKA ARNP
Provider Business Mailing Address
First Line : 371 WOLVERINE CT
Second Line :
City : RICHLAND
State : WA
Zip : 99352-7745
Country : US
Telephone Number : 509-531-0364
Fax Number : 509-627-2983
Provider Business Practice Location Address
First Line : 3950 KEENE RD
Second Line :
City : WEST RICHLAND
State : WA
Zip : 99353-4901
Country : US
Telephone Number : 509-942-3130
Fax Number : 509-628-8335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2017
Last Update Date : 07/27/2023

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