Individual
SARA GRACE RUDNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-RNC-NIC
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
684424
NY
163WN0002X
Neonatal Intensive Care Registered Nurse
RN9441496
FL
163WP0200X
Pediatric Registered Nurse
684424
NY
363LP0200X
Pediatric Nurse Practitioner
382602
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9441496
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019008500
—
FL
Enumeration date
07/06/2015
Last updated
11/07/2022
Update your record
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