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Amanda B Rudolph, CPNP
Pediatric Nurse Practitioner in Kaufman, Texas
NPI 1043452972

Amanda B Rudolph is a Pediatric Nurse Practitioner based in Metairie, TX and is specialized in Pediatrics. Amanda B Rudolph practices in Kaufman, TX and has the professional credentials of CPNP. The NPI Number for Amanda B Rudolph is 1043452972 and holds a License No. AP05388 (Texas).

The current practice location address for Amanda B Rudolph is 1011 W Grove St Ste 120, Kaufman, TX and can be reached out via phone at 972-932-1319 and via fax at 972-932-1396.

Location: 1011 W Grove St Ste 120, Kaufman, TX, 70006-5210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043452972
Provider Name
Amanda B Rudolph
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
1011 W Grove St Ste 120, Kaufman, TX, 70006-5210
Phone Number
972-932-1319
Fax Number
972-932-1396
Provider Enumeration Date
03/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09079528 05 MS
1552992 05 LA
institution
Provider Business Practice Location Address Details
Address
1011 W Grove St Ste 120
City
Kaufman
State
Texas
Zip
75142-1883
Phone Number
972-932-1319
Fax Number
972-932-1396
person
Provider Business Mailing Address Details
Address
1011 W Grove St Ste 120
City
Kaufman
State
Texas
Zip
75142-1883
Phone Number
972-932-1319
Fax Number
972-932-1396
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
162093 (Texas)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
AP05388 (Louisiana)
Definition
Definition to come...
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