Amanda B Rudolph
Nurse Practitioner Nurse Practitioner - Pediatrics
1011 W Grove St Ste 120
Kaufman
, Texas 75142-1883
Amanda B Rudolph
Nurse Practitioner Nurse Practitioner - Pediatrics
1011 W Grove St Ste 120
Kaufman
, Texas 75142-1883
(504) 887-1133
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Amanda B Rudolph
- 4901 Veterans Memorial Blvd
- Metairie, LA
- Zip : 70006-5210
- Phone : (504) 887-1133
Second Address
- Amanda B Rudolph
- 1011 W Grove St Ste 120
- Kaufman, TX
- Zip : 75142-1883
- Fax : (972) 932-1396
- Phone : (972) 932-1319
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP05388 | LA |
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 162093 | TX |
National Provider Identifier
| NPI | 1043452972 |
|---|---|
| Provider Name | Amanda B Rudolph |
| First Address | Metairie, LA 70006-5210 |
| Second Address | Kaufman, TX 75142-1883 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/03/2009 |
| Last Update Date | 16/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 09079528 | (05) | MS |
| 1552992 | (05) | LA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.