Mariah Ruckdeschel
Nurse's Aide in Sun City Center, FL. Individual provider (NPI-1).
NPI number1104792134
StatusActive
Last updated in NPPESOct 16, 2025
Details
- NPI
- 1104792134
- Entity type
- Individual (NPI-1)
- Name
- Mariah Ruckdeschel
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 16, 2025
- Certification date
- Oct 16, 2025
- Last updated
- Oct 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 376K00000X | Nurse's Aide | RN9677686 | FL | Yes |
Practice location
7054 King Creek DrSun City Center, FL 33573-0218
Phone 912-819-6780
Mailing address
7054 King Creek DrSun City Center, FL 33573-0218
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Nurse's Aide providers in Sun City Center, FL
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.