Sara Grace Rudnik, CPNP-RNC-NIC is a
Nurse Practitioner - Pediatrics based in Brodenton, Florida. Sara Grace Rudnik is licensed to practice in Florida (license number ARNP9441496) and her current practice location is
5255 Office Park Blvd, Suite 110, Brodenton, Florida. She can be reached at her office (for appointments etc.) via phone at
(941) 755-7000.
NPI number for Sara Grace Rudnik is 1154704484 and her current mailing address is 5255 Office Park Blvd, Suite 110, Brodenton, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1154704484.
Provider's Profile
| Full Name | Sara Grace Rudnik |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Pediatrics |
|---|
| Location | 5255 Office Park Blvd, Brodenton, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154704484
- Provider Enumeration Date: 07/06/2015
- Last Update Date: 11/07/2022
Medical Identifiers
Medical identifiers for Sara Grace Rudnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154704484 | NPI | - | NPPES |
| 019008500 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WN0002X | Registered Nurse - Neonatal Intensive Care | 684424 (New York) | Secondary |
| 163WN0002X | Registered Nurse - Neonatal Intensive Care | RN9441496 (Florida) | Secondary |
| 163WP0200X | Registered Nurse - Pediatrics | 684424 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 382602 (New York) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | ARNP9441496 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sara Grace Rudnik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Sara Grace Rudnik, CPNP-RNC-NIC
5255 Office Park Blvd, Suite 110,
Brodenton, FL 34203
Ph: (941) 755-7000 | Sara Grace Rudnik, CPNP-RNC-NIC
5255 Office Park Blvd, Suite 110,
Brodenton, FL 34203
Ph: (941) 755-7000 |
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