Individual
LYNNE C RUDDEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5155
(610) 431-5157
Mailing address
701 E MARSHALL ST, WEST CHESTER, PA 19380-4412
(610) 431-5155
(610) 431-5157
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
VP-005905-G
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232359401
GREAT VALLEY HEALTH
PA
Enumeration date
02/23/2006
Last updated
05/09/2023
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