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Dianne M Rudolph, NP
Gerontology Nurse Practitioner in Live Oak, Texas
NPI 1427095777

Dianne M Rudolph is a Gerontology Nurse Practitioner based in San Antonio, TX and is specialized in Gerontology. Dianne M Rudolph practices in Live Oak, TX and has the professional credentials of NP. The NPI Number for Dianne M Rudolph is 1427095777 and holds a License No. 561280 (Texas).

The current practice location address for Dianne M Rudolph is 12501 Judson Rd Ste 102, Live Oak, TX and can be reached out via phone at 210-729-2180.

Location: 12501 Judson Rd Ste 102, Live Oak, TX, 78229-3318
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427095777
Provider Name
Dianne M Rudolph
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
12501 Judson Rd Ste 102, Live Oak, TX, 78229-3318
Phone Number
210-729-2180
Fax Number
Provider Enumeration Date
06/02/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12501 Judson Rd Ste 102
City
Live Oak
State
Texas
Zip
78233-4117
Phone Number
210-729-2180
Fax Number
person
Provider Business Mailing Address Details
Address
12501 Judson Rd Ste 102
City
Live Oak
State
Texas
Zip
78233-4117
Phone Number
210-729-2180
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Wound Care
Taxonomy
163WW0000X
License No.
AP113442 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
561280 (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 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
561280 (Texas)
Definition
Definition to come...
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