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Individual

MS. AMBER JANE TRUDEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
150 S PINE ISLAND RD STE 540, PLANTATION, FL 33324-2667
(508) 341-1942
(800) 883-4272
Mailing address
3694 NEWPORT AVE, BOYNTON BEACH, FL 33436-8525
(508) 341-1942
(800) 883-4272

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9415703
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
410937
BLUE CHIP
RI
01
49540
BLUE SHIELD
RI
05
9778446
MA
01
M16425
BLUE SHIELD
01
NP3468
BLUE SHIELD
MA
Enumeration date
06/14/2006
Last updated
03/17/2022
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