Search › Pennsylvania › Acute Care Nurse Practitioner
Shane Rudolph, CRNP
NPI 1922696244 · on the registry since 2021 · sole proprietor
Practice
- Address
- 10833 Knights Rd
Philadelphia, PA 19154 - Phone
- (215) 519-7279
Additional practice sites
- 60 Township Line Rd, Elkins Park, PA
Registry record
- Primary taxonomy
- Acute Care Nurse Practitioner
363LA2100X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-01-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania