Emilianne Rudd, NP | |
1056 Sagebrush Rd, Carlsbad, CA 92011-3974 | |
(248) 202-8997 | |
Not Available |
Full Name | Emilianne Rudd |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 1056 Sagebrush Rd, Carlsbad, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174261945 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 95020133 (California) | Primary |
Entity Name | San Dieguito Orthopedic Medical Center P C |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356433965 PECOS PAC ID: 0143201442 Enrollment ID: O20040524001507 |
Mailing Address | Practice Location Address |
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Emilianne Rudd, NP 1056 Sagebrush Rd, Carlsbad, CA 92011-3974 Ph: (248) 202-8997 | Emilianne Rudd, NP 1056 Sagebrush Rd, Carlsbad, CA 92011-3974 Ph: (248) 202-8997 |
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