National Provider Identifier

Renee Rudolph, REGISTERED NURSE

Renee Rudolph, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Registered Nurse in Depew, NY and a listed phone number of (716) 440-2898.

NPI 1750072799Depew, NYRegistered Nurse

Profile Overview

NPI
1750072799
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
May 19, 2023
Last Updated
May 19, 2023

Practice Location

  • 100 Lackawanna Ave
  • Depew, NY 14043-3012

Phone: (716) 440-2898

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1750072799
Entity Type
Individual
Last Name
Rudolph
First Name
Renee
Name Prefix
MS.
Credential
REGISTERED NURSE
Mailing Street Address
100 Lackawanna Ave
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-3012
Mailing Country
US
Mailing Phone
(716) 440-2898
Practice Street Address
100 Lackawanna Ave
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-3012
Practice Country
US
Practice Phone
(716) 440-2898
Enumeration Date
May 19, 2023
Last Updated
May 19, 2023
Sex
Female
Sole Proprietor
Yes
Certification Date
May 19, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)