Organization
RUDDELL MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASHTINA ELLISON-RUDDOCK DNP,CRNP, FNP-BC (NURSE PRACTITIONER / PRESIDENT)
(202) 549-0925
Entity
Organization
Contact information
Practice address
7676 NEW HAMPSHIRE AVE STE 424, TAKOMA PARK, MD 20912-7516
(301) 296-0720
Mailing address
1361 OTIS PL NW, WASHINGTON, DC 20010-3436
(301) 296-0720
(301) 296-0732
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2024
Last updated
12/03/2024
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