MRS. CHENIN LEE CONGRAVE RUDE APN NPI 1679063275

NPI Information

NPI: 1679063275
Provider Name: MRS. CHENIN LEE CONGRAVE RUDE, APN
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
345 EXECUTIVE PKWY STE M4
ROCKFORD, IL
ZIP 61107
Phone: (815) 381-8514
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MRS. Chenin Lee Congrave Rude, APN is an acute care nurse practitioner in Rockford, IL. MRS. Chenin Lee Congrave Rude, APN NPI is 1679063275. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

345 EXECUTIVE PKWY STE M4
ROCKFORD, IL
ZIP 61107-291
Phone: (815) 381-8514
Fax: (815) 381-8665

The NPI 1679063275 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/18/2018 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041388930	ILLINOIS	No
2	363LA2100X	Nurse Practitioner	Acute Care	209017674	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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