Individual
THERESE ANN RUDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
3200 BROADMOOR BLVD NE, RIO RANCHO, NM 87144-2105
(505) 994-7397
Mailing address
13312 SUNSET CANYON DR NE, ALBUQUERQUE, NM 87111-4250
(505) 463-7203
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71251
NM
Other
Enumeration date
01/09/2023
Last updated
03/02/2023
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