Rudesyle, Donna Mae
Rudesyle, Donna Mae is an sole proprietor health care provider with primary practice located at 223 N Van Dien Ave , Ridgewood NJ 07450-2726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rudesyle, Donna Mae can be contacted via phone (201) 447-8154.Contact Information
Primary practice address
223 N Van Dien Ave
Ridgewood NJ 07450-2726
Phone: (201) 447-8154
Fax: (201) 251-3236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 26NN03817400 | New Jersey |
Profile Details
| NPI number | 1306840913 |
|---|---|
| LBN Legal business name | Rudesyle, Donna Mae |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 10th, 2005 |
| Last updated | Aug 11th, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306840913 | NPPES |
| New Jersey | MEDICAID | 8486204 |
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