Individual
MARCO ANTONIO RUDAS-GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1433 N 1200 W, OREM, UT 84057-2449
(801) 655-5450
(385) 225-9327
Mailing address
1433 N 1200 W, OREM, UT 84057-2449
(801) 655-5450
(385) 225-9327
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
10020784
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9819736-4405
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP61536353
WA
Other
Enumeration date
12/29/2023
Last updated
04/02/2026
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