National Provider Identifier Database

DELORIS E ASHLOCK RUDA, FNP – NPI #1770771636
Family


Contact Information

DELORIS E ASHLOCK RUDA, FNP
1150 STATE HIGHWAY 248 STE 202
BRANSON, MO65616-3729
Phone: 417-348-8964
Fax: 417-336-0275
Website:
Specialty Taxonomy Code
* Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for DELORIS E ASHLOCK RUDA

NPI Number 1770771636
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 10/04/2007
Last updated 08/02/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • MO License #: 136833
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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