Annette Janine Rudzewicz, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704126543 Issued in MI

Practice address

40925 Garfield Rd
Clinton Township, MI 48038-2537

Phone

(866) 389-2727

Fax

(612) 659-7101

NPI assigned

Jul 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Annette Janine Bak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Minuteclinic Diagnostic of Michigan PC

  • Family Nurse Practitioner
  • Northville, MI
  • NPI 1902848617
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639193220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14118 PERNELL DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483135449",
            "telephone_number": "586-247-7211",
            "fax_number": "612-659-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40925 GARFIELD RD",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382537",
            "telephone_number": "866-389-2727",
            "fax_number": "612-659-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDZEWICZ",
        "first_name": "ANNETTE",
        "middle_name": "JANINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704126543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNETTE",
            "last_name": "BAK",
            "middle_name": "JANINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurie Falbe Rubdi, LBSW, QMHP,QIDP,CMHP
• April Lori Rudish
• Matthew Rudnicki
• Lalitha Rudraiah, MD
• Rudyard L. Dimson MD PLC
• Holly Diane Ruffi
• Renee Ruhlman, LMSW
• Elizabeth Joy Rumble
• Nicole Marie Runkle, MS
• Alan Rupp, DO

• Family Nurse Practitioner in Clinton Township, MI
• Providers in Clinton Township, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.