Wound Resource Professional Corporation
NPI 1164396602ActiveOrganization· Nurse Practitioner, Family· Lancaster, CA
Nurse Practitioner, Family in Lancaster, California, registered in NPPES in September 2025. The authorized official on file is Shanna Rucker, Owner.
Overview
| NPI | 1164396602 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 29, 2025 |
| Last updated in NPPES | Oct 2, 2025 |
| Certified by provider | Oct 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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