person
Mr. Shane Michael Rudolph, CRNP
Acute Care Nurse Practitioner in Philadelphia, Pennsylvania
NPI 1922696244

Shane Michael Rudolph is an Acute Care Nurse Practitioner based in Philadelphia, PA and is specialized in Acute Care. Shane Michael Rudolph practices in Philadelphia, PA and has the professional credentials of CRNP. The NPI Number for Shane Michael Rudolph is 1922696244 and holds a License No. SP023007 (Pennsylvania).

The current practice location address for Shane Michael Rudolph is 10833 Knights Rd, Philadelphia, PA and can be reached out via phone at 215-519-7279.

Location: 10833 Knights Rd, Philadelphia, PA, 19154-4207
person
Provider Profile Details
NPI Number
1922696244
Provider Name
Shane Michael Rudolph
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
10833 Knights Rd, Philadelphia, PA, 19154-4207
Phone Number
215-519-7279
Fax Number
Provider Enumeration Date
01/03/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10833 Knights Rd
City
State
Zip
19154-4207
Phone Number
215-519-7279
Fax Number
person
Provider Business Mailing Address Details
Address
10833 Knights Rd
City
State
Zip
19154-4207
Phone Number
215-519-7279
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
SP023007 (Pennsylvania)
Definition
Definition to come...
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