MS. DIANA RUDNEV


Address: 4100 John R St, Detroit, MI 48201-2013
Phone: 3135769092

MS. DIANA RUDNEV (NPI# 1407347214) 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) 1407347214
Entity Type Individual
Full Name MS. DIANA RUDNEV
Credential MSN, RN, FNP-C
Practice Address 4100 John R St
Detroit
MI 48201-2013
Practice Telephone 3135769092
Practice Fax Number 3135768486
Mailing Telephone 3135769092
Enumeration Date 2018-05-29
Last Update Date 2020-09-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 4704262778 MI Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family 		4704262778 MI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 4100 JOHN R ST
City DETROIT
State MI
Zip Code 48201-2013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518966316 Cynthia Hilda Marsack Nurse Practitioner 4100 John R St, Karmanos Cancer Ctr Midlevels, Detroit, MI 48201-2013 2005-07-14
1467062950 Amy Josephine Skotzke Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2020-08-09
1700421294 Nicole Gonzalez Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2019-11-08
1881237485 Joseph Charles Ellul Internal Medicine 4100 John R St, Detroit, MI 48201-2013 2019-10-26
1841840113 Thoracic Surgical Services, PC Thoracic Surgery (Cardiothoracic Vascular Surgery) 4100 John R St, Detroit, MI 48201-2013 2019-09-18
1568016244 Ellen Wong Dillard Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2019-07-30
1700340924 Rita J Dibiase Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2019-01-23
1336634468 Linsday Anne Cleveland Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2018-07-01
1912408915 Yaukpala Ina Gofan Nurse Practitioner 4100 John R St, Detroit, MI 48201-2013 2018-02-24
1821518572 Barbara Ann Karmanos Cancer Hospital Orthopaedic Surgery 4100 John R St, Detroit, MI 48201-2013 2017-06-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659989838 Saima Sharif Student in an Organized Health Care Education/Training Program 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 2020-07-14
1609494384 Praveen Kumar Boddu Student in an Organized Health Care Education/Training Program 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 2020-07-09
1730707720 Amr Hassan Abdelghaffar Omar Pediatrics 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 2020-07-07
1700400694 Hassan Imtiaz Student in an Organized Health Care Education/Training Program 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 2020-06-05
1598389074 Alaa Awad Elkarim Student in an Organized Health Care Education/Training Program 3901 Beaubien St. 3t72, Detroit, MI 48201 2020-06-01
1891319299 Jeongyeon Hwang Student in an Organized Health Care Education/Training Program 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 2020-06-01
1477176576 Jaudat Fatima Masood Student in an Organized Health Care Education/Training Program 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 2020-05-22
1205459419 Amit Kumar Dahiya Student in an Organized Health Care Education/Training Program 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 2020-05-21
1851914188 Asra Nausheen Shaik Student in an Organized Health Care Education/Training Program 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 2020-05-21
1568085751 Camille Olechowski Student in an Organized Health Care Education/Training Program 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 2020-05-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386243574 Carl Andrew Ballard Nurse Practitioner 2635 Johnson Bottom Rd, Detroit, AL 35552-2731 2020-10-20
1639776164 Jennifer N Fucile Nurse Practitioner 3800 Woodward Ave Apt 702, Detroit, MI 48201-1980 2020-10-07
1649880329 Dedra Delane Ford Nurse Practitioner 18255 Birchcrest Dr, Detroit, MI 48221-2750 2020-08-06
1528695624 Venvisor Health Michigan LLC Nurse Practitioner 400 Renaissance Ctr Ste 200, Detroit, MI 48243-1502 2020-03-26
1558909978 Ruxandra Maria Lazar Nurse Practitioner 5285 Anthony Wayne Dr, Detroit, MI 48202-3947 2019-12-16
1376186460 Fazila Mahmood Siddiqui Nurse Practitioner 22201 Moross Rd Bldg Suite380, Detroit, MI 48236-2169 2019-10-22
1205482692 Ladawn Denise Kennedy Nurse Practitioner 16645 Ilene St, Detroit, MI 48221-3401 2019-08-13
1427600246 Christina Neirinck Nurse Practitioner 2401 St Antoine St, Detroit, MI 48201 2019-07-11
1548821556 Ty R Houston Nurse Practitioner 13100 Corbett St, Detroit, MI 48213-2081 2019-06-21
1235795451 Nekisha Bailey Nurse Practitioner 7501 Parkland, Detroit, MI 48239-1079 2019-05-13
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Competitor

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City DETROIT
Zip Code 48201

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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