Individual
MS. DIANA RUDNEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-C
Contact information
Practice address
4100 JOHN R ST, DETROIT, MI 48201-2013
(313) 576-9092
(313) 576-8486
Mailing address
4100 JOHN R ST, DETROIT, MI 48201-2013
(313) 576-9092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704262778
MI
363LF0000X
Family Nurse Practitioner
Primary
4704262778
MI
Other
Enumeration date
05/29/2018
Last updated
09/23/2020
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