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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SARA GRACE RUDNIK, CPNP-RNC-NIC

Active Sole Proprietor

SARA GRACE RUDNIK, CPNP-RNC-NIC is a Pediatric Nurse Practitioner healthcare provider located in BRODENTON, Florida. NPI 1154704484 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · BRODENTON, FL

Registration Details

NPI Number
1154704484
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2015 (11.150443966092 yrs)
Last Updated
Nov 7, 2022
Licenses
684424 (NY)
RN9441496 (FL)
684424 (NY)
382602 (NY)
ARNP9441496 (FL)
Sole Proprietor
Yes

Practice Information

Address
5255 OFFICE PARK BLVD
SUITE 110
BRODENTON, FL, 34203
Browse FL providers · Browse ZIP 34203
Phone
9417557000
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Neonatal Intensive Care Nurse
Additional Specialty
Pediatric Nurse
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Pediatric Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.