Individual
THERESA J RUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P., CRNP
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5260
Mailing address
6201 GREENLEIGH AVE, BALTIMORE, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R183328
MD
163W00000X
Registered Nurse
RN1008855
DC
363LA2100X
Acute Care Nurse Practitioner
Primary
R183328
MD
Other
Enumeration date
02/09/2012
Last updated
07/02/2025
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