Basic Information
| Provider Information | |||||||||
| NPI: | 1760567093 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RUSCHER | ||||||||
| FirstName: | DONNA | ||||||||
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| Credential: | ARNP,CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1301 HODGES DR | ||||||||
| Address2: | |||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323084614 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8504315714 | ||||||||
| FaxNumber: | 8504316403 | ||||||||
| Practice Location | |||||||||
| Address1: | 1304 HODGES DR | ||||||||
| Address2: | |||||||||
| City: | TALLAHASSEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 323084613 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8504314500 | ||||||||
| FaxNumber: | 8502161037 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/26/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | ARNP2525082 | FL | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.