Individual provider · Type 1 NPI

Susan K. Rudolph, RN

Registered Nurse · Grand Rapids, MI

NPI number 1417215542 Active

Practice location

516 Cherry St SE
Grand Rapids, MI 49503-4702

Fax (616) 771-9762

Specialties and licenses

Taxonomy	Code	License
Registered Nurse Primary	163W00000X	4704155333 (MI)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1417215542

Susan K. Rudolph, RN's National Provider Identifier is 1417215542, issued on Apr 26, 2012. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 26, 2012.