Individual
GLENDA ARLENE RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-C,WHNP
Contact information
Practice address
4311 WESLEY ST, GREENVILLE, TX 75401-5639
(903) 455-5958
(903) 454-4514
Mailing address
PO BOX 1908, GREENVILLE, TX 75403-1908
(903) 455-5986
(903) 454-4621
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
689498
TX
Other
Enumeration date
09/26/2006
Last updated
07/08/2007
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