MRS. MARGARET MATIA RUDOLPH CRNP NPI 1578589099

NPI Information

NPI: 1578589099
Provider Name: MRS. MARGARET MATIA RUDOLPH, CRNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2907 PLEASANT VALLEY BLVD
JAMES E. VAN ZANDT VAMC
ALTOONA, PA
ZIP 16602
Phone: (814) 943-8164
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MRS. Margaret Matia Rudolph, CRNP is a family nurse practitioner in Altoona, PA. MRS. Margaret Matia Rudolph, CRNP NPI is 1578589099. 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:

2907 PLEASANT VALLEY BLVD
JAMES E. VAN ZANDT VAMC
ALTOONA, PA
ZIP 16602-305
Phone: (814) 943-8164
Fax: (814) 940-6393

The NPI 1578589099 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/8/2007.

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	UP003901B	PENNSYLVANIA	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: 5/5/2024

NPI Synchronization or Removal

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