Rudberg, Gail M

Rudberg, Gail M is an individual health care provider with primary practice located at 2500 Como Ave , Saint Paul MN 55108-1460. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rudberg, Gail M can be contacted via phone (651) 641-6200.

Contact Information

Primary practice address
2500 Como Ave Saint Paul MN 55108-1460
Phone: (651) 641-6200
Fax: (651) 641-6295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 83790 Minnesota

Profile Details

NPI number 1720050834
LBN Legal business name Rudberg, Gail M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Feb 1st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720050834 NPPES
Minnesota MEDICAID 26753580Q

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