Healthcare Provider Details

I. General information

NPI: 1932017605
Provider Name (Legal Business Name): JULIE RUSCAK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

985 GORGE BLVD
AKRON OH
44310-2489
US

IV. Provider business mailing address

985 GORGE BLVD
AKRON OH
44310-2489
US

V. Phone/Fax

Practice location:
  • Phone: 330-761-1761
  • Fax: 330-761-2661
Mailing address:
  • Phone: 330-761-1761
  • Fax: 330-761-2661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN.261463
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: