| Doctor Name: | GAIL F RUDOLPH |
| NPI Number: | 1043349939 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN271246 |
| Business Practice Address: | 4075 Old Western Row Rd Mason, OH - 450403104 |
| Business Phone Number: | 5135360607 |
| Business Fax Number: | 5135360609 |
| Mailing Address: | 4075 Old Western Row Rd, MASON |
| State: | OH |
| Postal Code: | 450403104 |
| Phone Number: | 5135360607 |
| Fax Number: | 5135360609 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 08/27/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | RN271246 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |