Individual provider · Type 1 NPI

Amanda B. Rudolph, CPNP

Pediatric Nurse Practitioner · Kaufman, TX

NPI number 1043452972 Active

Practice location

1011 W Grove St Ste 120
Kaufman, TX 75142-1883

Call (972) 932-1319 Map

Fax (972) 932-1396

Mailing address

4901 Veterans Memorial Blvd
Metairie, LA 70006-5210

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP05388 (LA)
Pediatric Nurse Practitioner Primary 363LP0200X162093 (TX)

Pediatric Nurse Practitioner: Definition to come...

3 other providers at this address

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About NPI 1043452972

Amanda B. Rudolph, CPNP's National Provider Identifier is 1043452972, issued on Mar 24, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kaufman, TX. The record was last updated on Apr 16, 2014.