Rudolph, Nechole E

Rudolph, Nechole E is an individual health care provider with primary practice located at Po Box 2147 , Fort Myers FL 33902-2147. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Rudolph, Nechole E can be contacted via phone (239) 343-6341.

Contact Information

Primary practice address
Po Box 2147 Fort Myers FL 33902-2147
Phone: (239) 343-6341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN2273614 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X APRN11048703 Florida

Profile Details

NPI number 1790223121
LBN Legal business name Rudolph, Nechole E
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated Sep 3rd, 2026 - about last month

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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Identifiers

StateTypeNumberIssuer
All States NPI 1790223121 NPPES
Florida MEDICAID 132657600

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