Individual provider · Type 1 NPI
Chenin Lee Congrave Rude, APN
Acute Care Nurse Practitioner · Rockford, IL
NPI number
1679063275
Active
Practice location
345 Executive Pkwy Ste M4
Rockford, IL 61107-5291
Fax (815) 381-8665
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041388930 (IL) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209017674 (IL) |
Acute Care Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1679063275
Chenin Lee Congrave Rude, APN's National Provider Identifier is 1679063275, issued on May 18, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Rockford, IL. The record was last updated on Jun 16, 2018.