Individual
CHEQUERA RUDOLPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4943 RAPAHOE TRL, ATLANTA, GA 30349-7065
(678) 713-6007
Mailing address
4943 RAPAHOE TRL, ATLANTA, GA 30349-7065
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
258891
GA
163WC1600X
Continuing Education/Staff Development Registered Nurse
258891
GA
163WG0600X
Gerontology Registered Nurse
258891
GA
163WH0200X
Home Health Registered Nurse
258891
GA
163WM0705X
Medical-Surgical Registered Nurse
258891
GA
247ZC0005X
Clinical Laboratory Director (Non-physician)
—
—
251J00000X
Nursing Care Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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