Individual
REBEKAH RUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
FOND DU LAC HUMAN SERVICES DIVISON, 927 TRETTEL LANE, CLOQUET, MN 55720-1345
(218) 879-1227
Mailing address
506 12TH ST, CLOQUET, MN 55720-2320
(218) 590-0543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1338373
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10959
MN
Other
Enumeration date
03/02/2021
Last updated
01/02/2024
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