Rudnik, Sara Grace

Rudnik, Sara Grace is an sole proprietor health care provider with primary practice located at 5255 Office Park Blvd Suite 110, Brodenton FL 34203. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Neonatal Intensive Care, Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Rudnik, Sara Grace can be contacted via phone (941) 755-7000.

Contact Information

Primary practice address
5255 Office Park Blvd Suite 110 Brodenton FL 34203
Phone: (941) 755-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 684424 New York
Nursing Service Providers / Neonatal Intensive Care 163WN0002X RN9441496 Florida
Nursing Service Providers / Pediatrics 163WP0200X 684424 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 382602 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X ARNP9441496 Florida

Profile Details

NPI number 1154704484
LBN Legal business name Rudnik, Sara Grace
Credentials CPNP-RNC-NIC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2015
Last updated Nov 7th, 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 1154704484 NPPES
Florida MEDICAID 019008500

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