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NPI Code Detail

MEDICARE: RUDOLF WEBER FNP-C

MEDICARE: RUDOLF WEBER FNP-C
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
1163W00000XRegistered NurseRN.434721OH
2363LF0000XFamily Nurse PractitionerAPRN.CNP.0029689OH

General Provider Information

NPI Number : 1881208536
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUDOLF WEBER FNP-C
Provider Business Mailing Address
First Line : 13777 PEARL RD
Second Line :
City : STRONGSVILLE
State : OH
Zip : 44136-4900
Country : US
Telephone Number : 440-238-8360
Fax Number :
Provider Business Practice Location Address
First Line : 30791 DETROIT RD
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-1835
Country : US
Telephone Number : 440-835-3271
Fax Number : 440-899-6791
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2020
Last Update Date : 05/06/2023

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Directions to “ RUDOLF WEBER FNP-C” Practice Location

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