Doctor Name: | SONYA KAY RUEDLINGER |
NPI Number: | 1245586718 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, NP-C |
License Number: | 28144086A |
Business Practice Address: | 7 E Main St Gosport, IN - 474337034 |
Business Phone Number: | 8128794222 |
Business Fax Number: | 8124794834 |
Mailing Address: | Po Box 1329, BLOOMINGTON |
State: | IN |
Postal Code: | 474021329 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/02/2012 |
NPI Last Update Date: | 03/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 28144086A |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |