# MS. VICTORIA LOUISE RUDOLPH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1376298331
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 28209290A | IN | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 71012634A | IN | Yes |
| 363L00000X | Nurse Practitioner | 71012634A | IN | — |
| 363LF0000X | Family Nurse Practitioner | 71012634A | IN | — |

## Other

- **Enumeration date:** 02/18/2022
- **Last updated:** 01/16/2024
