Individual
ELIZABETH T RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4319 STONE WAY N, SEATTLE, WA 98103-7420
(206) 461-3614
(206) 634-0094
Mailing address
4319 STONE WAY N, SEATTLE, WA 98103-7420
(206) 461-3614
(206) 634-0094
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP30003629
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9618737
—
WA
Enumeration date
03/07/2007
Last updated
07/09/2007
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