Individual
ETHAN CHRISTOPHER RUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN, CRNA
Contact information
Practice address
401 FERNDALE BLVD, HIGH POINT, NC 27262-4739
(336) 882-2567
(336) 882-5466
Mailing address
129 TURNBUCKLE CT, CLEMMONS, NC 27012-8992
(773) 220-4387
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
124160
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6219
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/03/2019
Last updated
09/11/2025
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