| Tiara Dolores Rudzinski, AG-CNS BC | |
|
109 Michigan St Nw Ste 424, Grand Rapids, MI 49503-3799 | |
| (616) 200-8435 | |
| (616) 639-1319 |
| Full Name | Tiara Dolores Rudzinski |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist |
| Location | 109 Michigan St Nw Ste 424, Grand Rapids, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346078052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 4704345043 (Michigan) | Primary |
| Entity Name | Theoria Medical |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609362375 PECOS PAC ID: 5395098339 Enrollment ID: O20181004002127 |
| Mailing Address | Practice Location Address |
|---|---|
| Tiara Dolores Rudzinski, AG-CNS BC 109 Michigan St Nw Ste 424, Grand Rapids, MI 49503-3799 Ph: (616) 200-8435 | Tiara Dolores Rudzinski, AG-CNS BC 109 Michigan St Nw Ste 424, Grand Rapids, MI 49503-3799 Ph: (616) 200-8435 |
Megan Hansen, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-0190 | |
Jennifer Topie, NP Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Mc 035, Grand Rapids, MI 49503 Phone: 616-391-1523 | |
Mrs. Stephanie C Mullennix, RN, CEN, AGCNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546 Phone: 616-988-8233 Fax: 616-957-3320 | |
Cheryl Sue Houseman, MSN, RN, ACNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-774-9857 | |
Mrs. Lisa Joy Mccann-spry, MSN RN AGCNS-BC ONC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1840 Wealthy St Se, Grand Rapids, MI 49506 Phone: 616-774-7935 | |
Ashley Perkins, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne # Mc191, Grand Rapids, MI 49503 Phone: 616-391-0095 | |
Ms. Beth Helen Huizinga, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 100 Michigan St Ne, Grand Rapids, MI 49503 Phone: 616-391-3655 |