ABBY ROSE RUDOLPH APRN NPI 1235581802

NPI Information

NPI: 1235581802
Provider Name: ABBY ROSE RUDOLPH, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1057 N GARLAND AVE
FAYETTEVILLE, AR
ZIP 72701
Phone: (479) 966-5088
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Abby Rose Rudolph, APRN is a family nurse practitioner in Fayetteville, AR with 8 years of experience. Abby Rose Rudolph, APRN NPI is 1235581802. 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:

1057 N GARLAND AVE
FAYETTEVILLE, AR
ZIP 72701-722
Phone: (479) 966-5088

The NPI 1235581802 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 7/7/2016 and was last updated on 7/7/2016.

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	363LF0000X	Nurse Practitioner	Family	A004804	ARKANSAS	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: 4/28/2024

NPI Synchronization or Removal

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