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Individual

MELISSA L RUDD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP, APRN, DNP

Contact information

Practice address
3522 SADDLE BACK LN, LUTZ, FL 33548-4765
(813) 974-8900
Mailing address
PO BOX 917770, ORLANDO, FL 32891-7770

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP60919272
WA
363LF0000X
Family Nurse Practitioner
ARNP9350196
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60919272
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN9350196
FL
363LP2300X
Primary Care Nurse Practitioner
SP009149
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016684300
FL
05
1017131020001
PA
05
113465700
FL
01
1898026
HIGHMARK
PA
01
411445
UPMC
PA
01
Y0Q5E
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/17/2006
Last updated
03/17/2022
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