SAMANTHA RUDER

LAKE STATION, IN
NPI1578320917
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71014964A)
Enumeration Date2024-03-04
Last Update Date2024-03-12
Business Address
SAMANTHA RUDER FNP-BC
2490 CENTRAL AVE
LAKE STATION, IN 46405-2122
Phone number: 811-221-9763
Mailing Address
SAMANTHA RUDER FNP-BC
3712 LAKE HURON DR APT 205
VALPARAISO, IN 46383-6746
Phone number: 219-671-4927
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