Charolette Rudd
Nurse Practitioner, Critical Care Medicine in Houston, TX. Individual provider (NPI-1).
NPI number1114484458
StatusActive
Last updated in NPPESDec 4, 2024
Details
- NPI
- 1114484458
- Entity type
- Individual (NPI-1)
- Name
- Ms. Charolette Rudd
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2019
- Certification date
- Dec 4, 2024
- Last updated
- Dec 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LC0200X | Nurse Practitioner, Critical Care Medicine | AP140700 | TX | Yes |
| 363L00000X | Nurse Practitioner | AP140700 | TX | |
| 363LA2100X | Nurse Practitioner, Acute Care | AP140700 | TX |
Practice location
6720 Bertner AveHouston, TX 77030-2604
Phone 832-567-2162
Mailing address
7373 Ardmore Street#1327
Houston, TX 77054
Phone 903-424-1296
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