Basic Information
| Provider Information | |||||||||
| NPI: | 1790742534 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RHUDE | ||||||||
| FirstName: | PAULA | ||||||||
| MiddleName: | ISRAEL | ||||||||
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| Credential: | F.N.P. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 38 | ||||||||
| Address2: | |||||||||
| City: | EUREKA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 955020038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074422347 | ||||||||
| FaxNumber: | 7074454499 | ||||||||
| Practice Location | |||||||||
| Address1: | 301 P ST | ||||||||
| Address2: | |||||||||
| City: | EUREKA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 955010627 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7074434666 | ||||||||
| FaxNumber: | 7074454499 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/26/2006 | ||||||||
| LastUpdateDate: | 12/19/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 167746-1852 | CA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.