Individual
MINDY RUDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, NNP-BC
Contact information
Practice address
1 CHILDRENS PL, SAINT LOUIS, MO 63110-1002
(314) 323-0763
Mailing address
1 CHILDRENS PL STE 5S15, SAINT LOUIS, MO 63110-1002
(314) 323-0763
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
104409571
MO
Other
Enumeration date
07/25/2017
Last updated
05/16/2022
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