Individual
JERI N RUDOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2511 M AVE, SUITE G, ANACORTES, WA 98221-3897
(360) 299-4297
(360) 299-4294
Mailing address
1211 24TH ST, ANACORTES, WA 98221-2562
(360) 299-4297
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP60483318
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP 01867
NM
Other
Enumeration date
10/27/2011
Last updated
11/19/2015
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