National Provider Identifier

Katherine Rudert

Katherine Rudert is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Ithaca, NY and a listed phone number of (607) 257-2188.

NPI 1528476629Ithaca, NYFamily Nurse Practitioner

Profile Overview

NPI
1528476629
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
August 01, 2014
Last Updated
August 01, 2014

Practice Location

  • 10 Graham RD W
  • Ithaca, NY 14850-1055

Phone: (607) 257-2188

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1528476629
Entity Type
Individual
Last Name
Rudert
First Name
Katherine
Mailing Street Address
10 Graham RD W
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1055
Mailing Country
US
Mailing Phone
(607) 257-2188
Practice Street Address
10 Graham RD W
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-1055
Practice Country
US
Practice Phone
(607) 257-2188
Enumeration Date
August 01, 2014
Last Updated
August 01, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)