IndividualActive
Crystal Rucker, PA-C
NPI 1699873257 · Physician Assistant · Grafton, WV
Provider details
- NPI number
- 1699873257
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 461 (WV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
725 N Pike St
Grafton, WV 26354-1270
Phone: (304) 265-4909
Fax: (304) 265-4915
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 35
Newburg, WV 26410-0035
Additional practice locations (1)
- 2060 N Mountaineer HwyNewburg, WV 26410-8994Phone: (304) 892-2812Fax: (304) 892-2814
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2019-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.