Individual
HANNAH RAE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 S STATE ROAD 135 STE 250, GREENWOOD, IN 46143-6223
(317) 300-1788
(317) 743-8103
Mailing address
111 NEW HAMPSHIRE AVE STE 2, PORTSMOUTH, NH 03801-2864
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004442A
IN
Other
Enumeration date
07/13/2022
Last updated
08/06/2024
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