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Individual

MS. SUSAN FAITH RUDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC, CORLN

Contact information

Practice address
10 CENTER DRIVE, BUILDING 10 ROOM 5C409, BETHESDA, MD 20892
(301) 496-4887
(301) 451-5404
Mailing address
10 CENTER DRIVE, BUILDING 10 ROOM 5C409, BETHESDA, MD 20892
(301) 496-4887
(301) 451-5404

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP084977
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
N36082
STATE OF MD DEPT OF HEALTH AND MENTAL HYGIENE, DIVISION OF DRUG CONTROL
MD
01
R084977
MARYLAND BOARD OF NURSING
MD
Enumeration date
09/16/2008
Last updated
03/07/2023
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