Individual provider · Type 1 NPI

Ellen Jean Rudolph, LPN

Licensed Practical Nurse · Plymouth, MA

NPI number 1891959656 Active

Practice location

242 Summer St
Plymouth, MA 02360-4642

Call (508) 746-1604 Map

Fax (508) 746-1604

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X66877 (MA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1891959656

Ellen Jean Rudolph, LPN's National Provider Identifier is 1891959656, issued on Jul 10, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Plymouth, MA. The record was last updated on Jul 10, 2008.