Individual
THERESA J RUDDY
Active
Individual
THERESA J RUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.P.N.P., CRNP
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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