Individual
KATIE PATRICIA RUDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
640 AVENUE A, FEASTERVILLE TREVOSE, PA 19053-4645
(215) 514-8041
Mailing address
640 AVENUE A, FEASTERVILLE TREVOSE, PA 19053-4645
(215) 514-8041
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP031635
PA
Other
Enumeration date
04/17/2025
Last updated
04/17/2025
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