Individual
MRS. CHERYL ANN RUDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
7310 RITCHIE HWY, #516, GLEN BURNIE, MD 21061-3065
(410) 761-7305
Mailing address
7310 RITCHIE HWY, #516, GLEN BURNIE, MD 21061-3065
(410) 761-7305
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R080352
MD
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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