Individual
BETTY RUDISAILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1635 AURORA CT, AURORA, CO 80045-2541
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0994040-NP
CO
363LG0600X
Gerontology Nurse Practitioner
APN.0994040-NP
CO
Other
Enumeration date
10/30/2018
Last updated
08/31/2020
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