Individual
SUZANNE RUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
(919) 873-9821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0024171485
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
23175
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042842800
—
DC
05
—
1871924472
—
VA
05
—
212392400
—
MD
Enumeration date
12/06/2013
Last updated
12/09/2019
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