Virginia Diane Rudolf, AGACNP-BC
Virginia Diane Rudolf, AGACNP-BC is a Nurse Practitioner in Mobile, Alabama. Qualified in 2016, 10 years ago. Practices with University of South Alabama Health Care Authority, a 80-clinician group and accepts Medicare assignment. Licensed in Alabama and Mississippi.
- Years since qualifying
- 10
- Licensed in
- AL, MS
- In the registry since
- 2017
- Specialties on file
- 3
Practice location Address checks out
3290 Dauphin St Ste 301Mobile, AL 36606-4052
Phone: (251) 660-5930
Fax: (251) 660-5931
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 3-000465 (AL) |
|---|---|
| Nurse Practitioner | Taxonomy 363L00000X · Licence 902189 (MS) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 3-000465 (AL) |
Record details
| NPI number | 1326561135 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP-BC |
| Sole proprietor | No |
| NPI enumerated | July 24, 2017 |
| Last updated in NPPES | May 21, 2024 |
| Certification date | May 21, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | University Of South Alabama Health Care Authority — 80 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Mr. Paul Ryland Murden, CRNP
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Mrs. Tatianne Riley, CRNP
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Hannah Bell Smith, NP
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Mrs. Mary Jane Smith, CRNP
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Stephen Bennett Smith
3090 Dauphin Sq Connector Ste B, Mobile, AL 36607-2500 · (251) 509-8972