Individual
CALLIE RUDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MEDICAL DR, TALLAHASSEE, FL 32308-4646
(850) 216-0100
Mailing address
10639 LAKE IAMONIA DR, TALLAHASSEE, FL 32312-5101
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9354508
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11018476
FL
Other
Enumeration date
03/02/2022
Last updated
03/22/2022
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