Individual
PAIGE ALLYSON RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CRNA
Contact information
Practice address
111 S 11TH ST, PHILADELPHIA, PA 19107-4824
(215) 915-6000
Mailing address
226 CATHARINE ST APT 3, PHILADELPHIA, PA 19147-3366
(856) 649-2647
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN696685
PA
Other
Enumeration date
06/16/2022
Last updated
06/16/2022
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