Healthcare Provider Details

I. General information

NPI: 1871999763
Provider Name (Legal Business Name): HELINA RUDD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2014
Last Update Date: 10/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7545 BEECHMONT AVE STE K
CINCINNATI OH
45255-4231
US

IV. Provider business mailing address

7545 BEECHMONT AVE STE K
CINCINNATI OH
45255-4231
US

V. Phone/Fax

Practice location:
  • Phone: 513-564-4277
  • Fax: 513-564-4278
Mailing address:
  • Phone: 513-564-4277
  • Fax: 513-564-4278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.363141
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number16972
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: