MISS Theresa E Rudy, LPN LICENSED PRACTIC
NPI #1003824095 in Cross Plains, Wisconsin
Provider Information
- NPI Number
- 1003824095
- Entity Type
- Individual
- Name
- MISS Theresa E Rudy, LPN LICENSED PRACTIC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN LICENSED PRACTIC
- Enumeration Date
- Aug 4, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 8837 SCHEELE ROAD
- City
- Cross Plains
- State
- Wisconsin
- ZIP Code
- 53528
- Phone
- (608) 798-1351
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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