Individual
CAROL A RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
9001 N COUNTRY HOMES BLVD, SPOKANE, WA 99218-2072
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30000071
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9636002
—
WA
Enumeration date
08/24/2005
Last updated
08/19/2013
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