Individual
AMY L RUDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
4840 DODGE ST, OMAHA, NE 68132-3111
(402) 558-2000
Mailing address
3820 S 189TH AVE, OMAHA, NE 68130-6054
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
113297
NE
Other
Enumeration date
05/18/2021
Last updated
05/18/2021
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