Individual provider · Type 1 NPI

Brandy Rudin, NP-C

Gerontology Nurse Practitioner · Charlotte, NC

NPI number 1154717098 Active

Practice location

6047 Tyvola Glen Cir Ste 100
Charlotte, NC 28217-6431

Fax (855) 866-8710

Mailing address

909 Ridgebrook Rd Ste 300
Sparks, MD 21152-9477

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X5007568 (NC)
Gerontology Nurse Practitioner Primary 363LG0600X5007568 (NC)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1154717098

Brandy Rudin, NP-C's National Provider Identifier is 1154717098, issued on Apr 7, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Charlotte, NC. The record was last updated on Jun 7, 2023.