Individual
ABBY ROSE RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1057 N GARLAND AVE, FAYETTEVILLE, AR 72701-1722
(479) 966-5088
Mailing address
1057 N GARLAND AVE, FAYETTEVILLE, AR 72701-1722
(479) 966-5088
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A004804
AR
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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