Individual
MICHELLE A RUDGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
103 INDIA ST, PORTLAND, ME 04101-4211
(207) 874-8446
(207) 756-8087
Mailing address
389 CONGRESS ST, ROOM 307, PORTLAND, ME 04101-3566
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN63456
ME
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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