Ingrid Caroline Rudie, APRN
Nurse Practitioner, Family in Boston, MA. Individual provider (NPI-1).
NPI number1750996161
StatusActive
Last updated in NPPESMay 18, 2024
Details
- NPI
- 1750996161
- Entity type
- Individual (NPI-1)
- Name
- Ingrid Caroline Rudie
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2020
- Certification date
- May 18, 2024
- Last updated
- May 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN2305344 | MA | Yes |
| 363L00000X | Nurse Practitioner | RN2305344 | MA |
Practice location
55 Fruit StBoston, MA 02114-2621
Phone 617-724-8135
Mailing address
2 Clinton St Apt 38Cambridge, MA 02139-2332
Phone 413-345-3133
Other practice locations
400 Faunce Corner Rd
North Dartmouth, MA 02747-1275
North Dartmouth, MA 02747-1275
Phone 508-995-6400
780 Albany St
Boston, MA 02118-2755
Boston, MA 02118-2755
Phone 857-654-1000 · Fax 857-654-1100
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