Individual
ANNA LOVELL RUNDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
622 W 168TH ST FL 14, NEW YORK, NY 10032-3720
(212) 305-3000
(212) 305-4343
Mailing address
PO BOX 27036, NEW YORK, NY 10087-7036
(212) 305-3000
(212) 342-2996
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
26NJ00388100
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
382114
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03281683
—
NY
Enumeration date
04/06/2010
Last updated
04/27/2018
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