DIANE L RUCKERT

FREDERICK, MD
NPI1720028673
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: MD  R115108)
Enumeration Date2006-06-08
Last Update Date2019-07-30
Business Address
Ms. DIANE L RUCKERT crnp
400 W 7TH ST
FREDERICK, MD 21701
Phone number: 240-566-3031
Mailing Address
Ms. DIANE L RUCKERT crnp
PO BOX 37086
BALTIMORE, MD 21297-3086
Phone number: 240-439-8913