MR. Shane Michael Rudolph, CRNP is an acute care nurse practitioner in Philadelphia, PA. MR. Shane Michael Rudolph, CRNP NPI is 1922696244. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
10833 KNIGHTS RD
PHILADELPHIA, PA
ZIP 19154-207
Phone: (215) 519-7279
The enumeration date for this NPI number is 1/3/2021 and was last updated on 1/3/2021.