Individual
ELEANOR LUDECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238
Mailing address
980 JOHNSON FERRY RD NE, SUITE 620, ATLANTA, GA 30342-1626
(404) 255-2057
(404) 256-4238
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
RN149205
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
750632085B
—
GA
05
—
750632085C
—
GA
05
—
750632085D
—
GA
05
—
750632085E
—
GA
05
—
750632085F
—
GA
05
—
750632085I
—
GA
05
—
750632085J
—
GA
05
—
750632085K
—
GA
Enumeration date
12/26/2006
Last updated
11/12/2010
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