Rudolph, Dianne M

Rudolph, Dianne M is an individual health care provider with primary practice located at 12501 Judson Rd Ste 102 , Live Oak TX 78233-4117. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Wound Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Rudolph, Dianne M can be contacted via phone (210) 729-2180.

Contact Information

Primary practice address
12501 Judson Rd Ste 102 Live Oak TX 78233-4117
Phone: (210) 729-2180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Wound Care 163WW0000X 561280 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 561280 Texas
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X AP113442 Texas

Profile Details

NPI number 1427095777
LBN Legal business name Rudolph, Dianne M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Aug 25th, 2021 - about 5 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.

Request for update

Popular Providers