Healthcare Provider Details

I. General information

NPI: 1790742534
Provider Name (Legal Business Name): PAULA ISRAEL RHUDE F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 12/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 P ST
EUREKA CA
95501-0627
US

IV. Provider business mailing address

PO BOX 38
EUREKA CA
95502-0038
US

V. Phone/Fax

Practice location:
  • Phone: 707-443-4666
  • Fax: 707-445-4499
Mailing address:
  • Phone: 707-442-2347
  • Fax: 707-445-4499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number167746-1852
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: