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NPI Code Detail

MEDICARE: REBECCA DRUDE

MEDICARE: REBECCA DRUDE
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
1363L00000XNurse Practitioner26NJ15153700NJ
2208M00000XHospitalist PhysicianAPRN11040856FL

General Provider Information

NPI Number : 1568289791
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA DRUDE
Provider Business Mailing Address
First Line : PO BOX 416457
Second Line :
City : BOSTON
State : MA
Zip : 02241-6457
Country : US
Telephone Number : 844-362-1735
Fax Number : 973-290-7495
Provider Business Practice Location Address
First Line : 100 MADISON AVE
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6136
Country : US
Telephone Number : 973-971-4287
Fax Number : 973-290-8325
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2024
Last Update Date : 04/16/2026

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Directions to “ REBECCA DRUDE ” Practice Location

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