ELEANOR LUDECKE CNP NPI 1508921032

NPI Information

NPI: 1508921032
Provider Name: ELEANOR LUDECKE, CNP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
980 JOHNSON FERRY RD NE
SUITE 620
ATLANTA, GA
ZIP 30342
Phone: (404) 255-2057
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Eleanor Ludecke, CNP is an obstetrics and gynecology nurse practitioner in Atlanta, GA. Eleanor Ludecke, CNP NPI is 1508921032. 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:

980 JOHNSON FERRY RD NE
SUITE 620
ATLANTA, GA
ZIP 30342-626
Phone: (404) 255-2057
Fax: (404) 256-4238

The enumeration date for this NPI number is 12/26/2006 and was last updated on 11/12/2010.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	RN149205	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	750632085I	MEDICAID	GEORGIA
2	750632085B	MEDICAID	GEORGIA
3	750632085E	MEDICAID	GEORGIA
4	750632085C	MEDICAID	GEORGIA
5	750632085F	MEDICAID	GEORGIA
6	750632085J	MEDICAID	GEORGIA
7	750632085D	MEDICAID	GEORGIA
8	750632085K	MEDICAID	GEORGIA

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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