Rudolph, Dianne M
Rudolph, Dianne M is an individual health care provider with primary practice located at 12501 Judson Rd Ste 102 , Live Oak TX 78233-4117. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Rudolph, Dianne M can be contacted via phone (210) 729-2180.Contact Information
Primary practice address
12501 Judson Rd Ste 102
Live Oak TX 78233-4117
Phone: (210) 729-2180
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Wound Care | 163WW0000X | 561280 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 561280 | Texas |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | AP113442 | Texas |
Profile Details
NPI number | 1427095777 |
---|---|
LBN Legal business name | Rudolph, Dianne M |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2006 |
Last updated | Aug 25th, 2021 - about 4 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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