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Mary M Rudolph, NP
Obstetrics & Gynecology Nurse Practitioner in Menlo Park, California
NPI 1588628218

Mary M Rudolph is a Obstetrics & Gynecology Nurse Practitioner based in San Francisco, CA and is specialized in Obstetrics & Gynecology. Mary M Rudolph practices in Menlo Park, CA and has the professional credentials of NP. The NPI Number for Mary M Rudolph is 1588628218 and holds a License No. NP572 (California).

The current practice location address for Mary M Rudolph is 321 Middlefield Rd, Menlo Park, CA and can be reached out via phone at 650-498-6623.

Location: 321 Middlefield Rd, Menlo Park, CA, 94160-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588628218
Provider Name
Mary M Rudolph
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
321 Middlefield Rd, Menlo Park, CA, 94160-0001
Phone Number
650-498-6623
Fax Number
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MMM00087M 01 NHIC
institution
Provider Business Practice Location Address Details
Address
321 Middlefield Rd
City
Menlo Park
State
California
Zip
94025-3500
Phone Number
650-498-6623
Fax Number
person
Provider Business Mailing Address Details
Address
321 Middlefield Rd
City
Menlo Park
State
California
Zip
94025-3500
Phone Number
650-498-6623
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Obstetrics & Gynecology
Taxonomy
363LX0001X
License No.
NP572 (California)
Definition
Definition to come...
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