NPI 1003540204

Hannah Rae Rudolph

Practitioner Physician Assistant Greenwood, IN

Practice location

Address: 2800 S State Road 135 STE 250, Greenwood, IN 46143-6223
Phone: (317) 300-1788
Fax: (317) 743-8103
Mailing address: 111 New Hampshire Ave STE 2, Portsmouth, NH 03801-2864

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 10004442A (IN)

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Registry record

NPI: 1003540204
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2022
Record last updated: 6 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.