Individual
MRS. SAMANTHA A. RUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4119 NW BARRY RD, KANSAS CITY, MO 64154-1100
(816) 452-4488
(816) 705-3660
Mailing address
4119 NW BARRY RD, KANSAS CITY, MO 64154-1100
(816) 452-4488
(816) 705-3660
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1161910
TX
363L00000X
Nurse Practitioner
Primary
2025015135
MO
363L00000X
Nurse Practitioner
GAA-NP00065
GA
Other
Enumeration date
03/15/2022
Last updated
05/21/2026
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