Individual provider · Type 1 NPI
Charolette Rudd
Critical Care Medicine Nurse Practitioner · Houston, TX
NPI number
1114484458
Active · reactivated Apr 3, 2019
Practice location
6720 Bertner Ave
Houston, TX 77030-2604
Mailing address
7373 Ardmore Street, #1327
Houston, TX 77054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | AP140700 (TX) |
| Acute Care Nurse Practitioner | 363LA2100X | AP140700 (TX) |
| Critical Care Medicine Nurse Practitioner Primary | 363LC0200X | AP140700 (TX) |
Critical Care Medicine Nurse Practitioner: Definition to come...
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About NPI 1114484458
Charolette Rudd's National Provider Identifier is 1114484458, issued on Feb 22, 2019. The primary taxonomy on file is Critical Care Medicine Nurse Practitioner (363LC0200X), and the practice location is in Houston, TX. The record was last updated on Dec 4, 2024.