Individual
MS. DENISE L HISER-RUDDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
4900 BROAD RD, COMMUNITY GENERAL HOSPITAL, SYRACUSE, NY 13215-2265
(315) 492-5899
Mailing address
4900 BROAD RD, COMMUNITY GENERAL HOSPITAL, SYRACUSE, NY 13215-2265
(315) 492-5899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F335966
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F335966
NURSE PRACTITIONER IN FAMILY HEALTH
NY
Enumeration date
08/06/2009
Last updated
01/20/2011
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