MS. MYTZI MARYANNE RUDOLPH


Address: 410 E 20th St, Vancouver, WA 98663-3316
Phone: 3606906951

MS. MYTZI MARYANNE RUDOLPH (NPI# 1841625993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841625993
Entity Type Individual
Full Name MS. MYTZI MARYANNE RUDOLPH
Credential R.N.
Practice Address 410 E 20th St
Vancouver
WA 98663-3316
Mailing Address 2221 E St
Vancouver
WA 98663-3238
Practice Telephone 3606906951
Mailing Telephone 3606906951
Enumeration Date 2013-09-09
Last Update Date 2014-02-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse RN00093629 WA Nursing Service Providers
N 163W00000X Registered Nurse 087000164RN OR Nursing Service Providers

Office Location

Street Address 410 E 20TH ST
City VANCOUVER
State WA
Zip Code 98663-3316

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992724850 Lisa Larae Stam Massage Therapist 410 E 20th St, Suite #7, Vancouver, WA 98663 2006-07-19
1851792519 Jeremy Honsowetz Counselor 410 E 20th St, Vancouver, WA 98663-3316 2014-09-11
1164761201 Joy E Batey Massage Therapist 410 E 20th St, Suite 6, Vancouver, WA 98663-3316 2013-02-09
1649535683 Full Potential Occupational Therapy Pllc Clinic/Center 410 E 20th St, Vancouver, WA 98663-3316 2012-07-05
1033471651 Linda Diane Johnson Acupuncturist 410 E 20th St, Arnada Clinic, Vancouver, WA 98663-3316 2012-06-10
1861627168 Gaylene Angelos Counselor 410 E 20th St, Vancouver, WA 98663-3316 2009-05-16
1376704338 Amanda Ragonesi Psychologist 410 E 20th St, Vancouver, WA 98663-3316 2008-06-23
1417137886 Deborah Lee Goodwin Specialist 410 E 20th St, Vancouver, WA 98663-3316 2007-11-13
1275725368 Mae Angela Marie Onosaki Mechanotherapist 410 E 20th St, Vancouver, WA 98663-3316 2007-08-13
1801004270 Valerie Carla Kelly Massage Therapist 410 E 20th St, Vancouver, WA 98663-3316 2007-05-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053946673 Jessica Maree Carnes Dental Hygienist 6505 Nw Cherry Street, Vancouver, WA 98663 2020-03-04
1598247207 Kristine Marie Mcginley Acupuncturist 100 East 33rd St., Ste 203a, Vancouver, WA 98663 2018-08-30
1932689460 Jennifer Fowler Behavioral Analyst 1901 Broadway St Apt 103, Vancouver, WA 98663 2018-08-15
1083109755 Kallie A Wikman Physical Therapist 100 E 33rd St Ste 204, Vancouver, WA 98663 2018-06-26
1407344872 Kyle Besaw Student in an Organized Health Care Education/Training Program 300 E 33rd St Ste 100, Vancouver, WA 98663 2018-05-01
1023521747 Focal Clinic Inc Counselor 3305 Main St Ste 205, Vancouver, WA 98663 2017-11-16
1215455365 Thirty Three Oaks, LLC Skilled Nursing Facility 400 E. 33rd St., Vancouver, WA 98663 2017-09-08
1174047690 Douglas Gangat Uy Counselor 1610 C Street, Suite 102, Vancouver, WA 98663 2017-07-26
1699206243 Maggie May Mcgraw Social Worker 410 E 20th Street, Vancouver, WA 98663 2017-03-24
1356740328 Joseph Kelly Dentist 1008 Nw 59th St., Vancouver, WA 98663 2014-08-15
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316544711 Rachel Skiles Registered Nurse 11328 Ne 51st Cir Apt J96, Vancouver, WA 98682-1209 2020-10-08
1184230625 Helen Trinidad Uy Registered Nurse 15814 Ne 72nd St., Vancouver, WA 98682 2020-09-21
1184235095 Chandra Marie Zichterman Registered Nurse 8605 Ne 86th St, Vancouver, WA 98662-2452 2020-08-13
1548879083 Trisha Ilene Uy Lee Registered Nurse 16307 Ne 81st St, Vancouver, WA 98682-3624 2020-07-30
1548883358 Feliks Polyakov Registered Nurse 7117 Ne Fairway Ave, Vancouver, WA 98662-3691 2020-05-27
1396365912 Chloe Raylene Altenburg Registered Nurse 306 W 35th St, Vancouver, WA 98660-1919 2020-04-23
1013540467 Sherri Hanson Registered Nurse 1300 Columbia St Apt 407, Vancouver, WA 98660-2939 2020-02-13
1326687062 Jennifer Jeanne Reisner Registered Nurse 5203 Nw Lincoln Ave, Vancouver, WA 98663-1537 2019-12-28
1639724594 Melanie Rae Kingsbury Registered Nurse 3507 Ne 152nd Ave, Vancouver, WA 98682-7325 2019-08-07
1972158418 Arleen Frances A Inhumang Registered Nurse 1709 Se 158th Ave, Vancouver, WA 98683-4633 2019-08-01
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Competitor

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City VANCOUVER
Zip Code 98663

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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