| Amanda B Rudolph, CPNP | |
|
1011 W Grove St Ste 120, Kaufman, TX 75142-1883 | |
| (972) 932-1319 | |
| (972) 932-1396 |
| Full Name | Amanda B Rudolph |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 1011 W Grove St Ste 120, Kaufman, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043452972 | NPI | - | NPPES |
| 09079528 | Medicaid | MS | |
| 1552992 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP05388 (Louisiana) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 162093 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda B Rudolph, CPNP 4901 Veterans Memorial Blvd, Metairie, LA 70006-5210 Ph: (504) 887-1133 | Amanda B Rudolph, CPNP 1011 W Grove St Ste 120, Kaufman, TX 75142-1883 Ph: (972) 932-1319 |
Mrs. Vanessa Lisa Ramsey, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 874 Ed Hall Dr Ste B108, Kaufman, TX 75142 Phone: 972-932-5555 | |
James Mcclintock, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 874 Ed Hall Dr, Kaufman, TX 75142 Phone: 972-932-5557 | |
Gabrielle Haynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 N Houston St, Kaufman, TX 75142 Phone: 972-932-3108 Fax: 972-932-7007 | |
Katelin Roberts, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 874 Ed Hall Dr, Kaufman, TX 75142 Phone: 972-932-5279 | |
Cynthia Ann Reyes, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 N Houston St, Kaufman, TX 75142 Phone: 972-932-7001 Fax: 972-932-7007 | |
Crystal Lucas, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Millennium Dr Ste B, Kaufman, TX 75142 Phone: 972-932-8555 |