Individual provider · Type 1 NPI
Charissa Anne Douglas-Rudder, FNP-BC, ARNP
Family Nurse Practitioner · Miami Beach, FL
NPI number
1316440902
Active
Practice location
4300 Alton Rd
Miami Beach, FL 33140-2948
Mailing address
10747 S Preserve Way Apt 202
Miramar, FL 33025-6558
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | ARNP9303889 (FL) |
| Emergency Registered Nurse | 163WE0003X | RN9303889 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1316440902
Charissa Anne Douglas-Rudder, FNP-BC, ARNP's National Provider Identifier is 1316440902, issued on Mar 9, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Miami Beach, FL. The record was last updated on Mar 9, 2018.