Individual
CONNIE JAYNE RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1700 S TAMIAMI TRL, SARASOTA, FL 34239-3509
(941) 917-2600
Mailing address
PO BOX 947407, ATLANTA, GA 30394-7407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
ARNP9432470
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP9432470
FL
Other
Enumeration date
03/13/2013
Last updated
05/15/2024
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