Sheri Ledawn Rudin
Individual provider Active NPI Child Mental Illness Respite Care · Seligman, AZ
NPI 1417280413 · NPPES record last updated Sep 9, 2009
Key facts
- NPI
- 1417280413
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child Mental Illness Respite Care 385HR2055X
- License
- 1657556 (AZ)
- Practice address
- 525 Sierra Verde Rd
Seligman, AZ 86337 - Phone
- (928) 699-8790
- NPI assigned
- Sep 9, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1657556 | AZ | MD | Child Mental Illness Respite Care |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child Mental Illness Respite Care | 385HR2055X | 1657556 | AZ | Yes |
Addresses
Primary practice location
525 Sierra Verde Rd
Seligman, AZ 86337
Mailing address
PO Box 82
Seligman, AZ 86337-0082
Phone (928) 699-8790
Other providers in Seligman, AZ
- County of Yavapai Seligman Unified Schools
- Jerome Joseph Dedecker
- Kelly M Hall
- Denise Marie James
- North Country Healthcare, Inc.
All providers in Seligman, AZ · Child Mental Illness Respite Care in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.