Active NPIIndividual providerSole proprietor

Ms. Amanda Rudolph, RN, LPN

Registered Nurse in Mount Vernon, New York

NPI Number1306274725
Practice location
10 N Fulton Ave, Apt. 1L, Mount Vernon, NY 10550-1614
Fax
—
Last updated
June 15, 2019

Amanda Rudolph is a Registered Nurse based in Mount Vernon, NY. Amanda Rudolph practices in Mount Vernon, NY and has the professional credentials of RN, LPN. The NPI Number for Amanda Rudolph is 1306274725 and holds a License No. 316023 (NY). The current practice location address for Amanda Rudolph is 10 N Fulton Ave, Apt. 1L, Mount Vernon, NY 10550-1614 and can be reached out via phone at 347-483-1444.

Provider Profile Details

NPI Number
1306274725
Provider Name
Amanda Rudolph
Credential
RN, LPN
Provider Entity Type
Individual
Gender
Female
Address
10 N Fulton Ave, Apt. 1L, Mount Vernon, NY 10550-1614
Phone Number
347-483-1444
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 22, 2013
Last Update Date
June 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 N Fulton Ave
Apt. 1L
Mount Vernon, NY 10550-1614
Zip
10550-1614
Phone Number
347-483-1444
Mount Vernon, NY 10550Get directions →

Provider Business Mailing Address Details

Address
10 N Fulton Ave Apt 1L
Mount Vernon, NY 10550-1611
City
Mount Vernon
State
NY
Zip
10550-1611
Phone Number
914-979-3407

License Information

License Number (1)
316023
License State (1)
NY
Taxonomy (1)
Nursing Care · 251J00000X
License Number (2)
316023
License State (2)
NY
Taxonomy (2)
Licensed Practical Nurse · 164W00000X
License Number (3)
746171
License State (3)
NY
Taxonomy (3)
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Amanda Rudolph, RN, LPN?

The NPI number of Ms. Amanda Rudolph, RN, LPN is 1306274725. It was assigned on October 22, 2013 and is currently active in the NPPES registry.

What is the specialty of Ms. Amanda Rudolph, RN, LPN?

Ms. Amanda Rudolph, RN, LPN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NY under license number 316023.

Where does Ms. Amanda Rudolph, RN, LPN practice?

The practice location is 10 N Fulton Ave, Apt. 1L, Mount Vernon, NY 10550-1614. The office can be reached at 347-483-1444 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1306274725 directly on the NPPES registry website.

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