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NPI Code Detail

MEDICARE: MRS. CHRISTA ARVAY RUDASILL

MEDICARE: MRS. CHRISTA ARVAY RUDASILL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.021541OH

General Provider Information

NPI Number : 1447615422
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CHRISTA ARVAY RUDASILL
Provider Business Mailing Address
First Line : 4242 DUNEDEN AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45236-3117
Country : US
Telephone Number : 419-966-6452
Fax Number :
Provider Business Practice Location Address
First Line : 4613 MARBURG AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45209-5005
Country : US
Telephone Number : 513-782-5060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2015
Last Update Date : 03/17/2018

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