Individual
MRS. MARGARET MATIA RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, JAMES E. VAN ZANDT VAMC, ALTOONA, PA 16602-4305
(814) 943-8164
(814) 940-6393
Mailing address
RR 3 BOX 831, ALTOONA, PA 16601-9203
(814) 943-2226
(814) 940-6393
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
UP003901B
PA
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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