# SARA GRACE RUDNIK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154704484
- **Gender:** F
- **Credential:** CPNP-RNC-NIC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WN0002X | Neonatal Intensive Care Registered Nurse | 684424 | NY | — |
| 163WN0002X | Neonatal Intensive Care Registered Nurse | RN9441496 | FL | — |
| 163WP0200X | Pediatric Registered Nurse | 684424 | NY | — |
| 363LP0200X | Pediatric Nurse Practitioner | 382602 | NY | — |
| 363LP0200X | Pediatric Nurse Practitioner | ARNP9441496 | FL | Yes |

## Other

- **Enumeration date:** 07/06/2015
- **Last updated:** 11/07/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 019008500 | — | FL |