| Nicole M Rudy, CNM | |
|
80 Mahalani St, Wailuku, HI 96793-2531 | |
| (833) 833-3333 | |
| Not Available |
| Full Name | Nicole M Rudy |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 80 Mahalani St, Wailuku, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023510161 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 201707449NP-PP (Oregon) | Secondary |
| 367A00000X | Advanced Practice Midwife | APRN-5329 (Hawaii) | Primary |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Entity Name | Womens Healthcare Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346296142 PECOS PAC ID: 8527054014 Enrollment ID: O20040421000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole M Rudy, CNM 80 Mahalani St, Wailuku, HI 96793-2531 Ph: () - | Nicole M Rudy, CNM 80 Mahalani St, Wailuku, HI 96793-2531 Ph: (833) 833-3333 |
Heather Milovina, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1881 Nani St, Wailuku, HI 96793 Phone: 808-872-4009 | |
Alexandria Emilie Amey, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 75 N Church St Ste B, Wailuku, HI 96793 Phone: 816-863-1459 | |
Jennifer Ann Gagnon, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 30 N Church St Ste 300, Wailuku, HI 96793 Phone: 808-242-9787 Fax: 888-972-5617 |