Individual
MRS. MARY JANE RUDOWSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN166982
OH
363L00000X
Nurse Practitioner
Primary
COA1145NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085012
—
OH
Enumeration date
02/23/2010
Last updated
07/05/2011
Update your record
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