Healthcare Provider Details

I. General information

NPI: 1245586718
Provider Name (Legal Business Name): SONYA KAY RUEDLINGER MSN, PMHNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2012
Last Update Date: 08/09/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2629 WATERFRONT PARKWAY EAST DR STE 375
INDIANAPOLIS IN
46214-2026
US

IV. Provider business mailing address

2629 WATERFRONT PARKWAY EAST DR STE 375
INDIANAPOLIS IN
46214-2026
US

V. Phone/Fax

Practice location:
  • Phone: 317-978-0257
  • Fax: 317-974-9077
Mailing address:
  • Phone: 317-978-0257
  • Fax: 317-974-9077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number28144086A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71004057A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number71004057A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: