Individual
ELIZABETH ANTONIA RUDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12 CENTRAL ST APT 1, SOMERVILLE, MA 02143-2842
(617) 529-1828
Mailing address
12 CENTRAL ST APT 1, SOMERVILLE, MA 02143-2842
(617) 529-1828
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2328743
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2328743
MA
Other
Enumeration date
11/16/2023
Last updated
05/15/2024
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