Rudisile, Marybeth Andrea

Rudisile, Marybeth Andrea is an sole proprietor health care provider with primary practice located at 4437 Innsbruck Rdg , Medford OR 97504-9058. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Maternal Newborn. Nursing Service Providers / Registered Nurse is her primary health care specialty. Rudisile, Marybeth Andrea can be contacted via phone (541) 227-3180.

Contact Information

Primary practice address
4437 Innsbruck Rdg Medford OR 97504-9058
Phone: (541) 227-3180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 200842425RN Oregon
Nursing Service Providers / Maternal Newborn 163WM0102X 200842425RN Oregon

Profile Details

NPI number 1346578853
LBN Legal business name Rudisile, Marybeth Andrea
Credentials RN, IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2009
Last updated Nov 20th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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