Individual
ELIZABETH RUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P., R.N.
Contact information
Practice address
101 E W T HARRIS BLVD, SUITE 5002, CHARLOTTE, NC 28262-3485
(704) 863-9700
(704) 548-0927
Mailing address
PO BOX 602478, CHARLOTTE, NC 28260-2478
(704) 863-9700
(704) 548-0927
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
276242
NC
363LA2200X
Adult Health Nurse Practitioner
RN242930
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1730577438
—
NC
Enumeration date
01/03/2015
Last updated
07/15/2015
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