Individual
MRS. DONNA MAE RUDESYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8154
(201) 251-3236
Mailing address
223 N VAN DIEN AVE, RIDGEWOOD, NJ 07450-2726
(201) 447-8154
(201) 251-3236
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NN03817400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8486204
—
NJ
Enumeration date
06/10/2005
Last updated
08/11/2011
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