Individual
RIRA YOO RUDNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4660 YOSEMITE ST STE 100, DENVER, CO 80238-4481
(720) 516-8902
Mailing address
5831 GALENA ST, DENVER, CO 80238-4149
(508) 221-7458
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN.1665551
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0996298-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000196610
—
CO
Enumeration date
06/09/2021
Last updated
02/22/2023
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