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RUDOLPH ANSAH ACNP

Acute Care >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1215451901

Individual Registrant:
 RUDOLPH  ANSAH ACNP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
100 E CARROLL ST  SALISBURY, MD 21801 US
Tel: 410-546-6400  Fax: --

Contact information for business:
100 E CARROLL ST  SALISBURY, MD 21801-5422 US
Tel: 410-546-6400  Fax: --

Registration Information:
NPI: 1215451901
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Acute Care
MDR229052
N363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
OHRN.359419

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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