Individual
DR. RUDOLPH PAVLESICH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA, FNP-BC
Contact information
Practice address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(603) 536-1120
Mailing address
89 STEVENS HILL RD, NOTTINGHAM, NH 03290-4802
(904) 535-1875
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017019797
FL
367500000X
Certified Registered Nurse Anesthetist
Primary
074985-23
NH
367500000X
Certified Registered Nurse Anesthetist
281215
GA
367500000X
Certified Registered Nurse Anesthetist
ARNP9178468
FL
Other
Enumeration date
01/22/2015
Last updated
05/17/2020
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