Peter Rudden
Individual provider Active NPI Certified Registered Nurse Anesthetist · Providence, RI
NPI 1740356641 · NPPES record last updated Oct 27, 2022
Key facts
- NPI
- 1740356641
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- APRN00831 (RI)
- Practice address
- 101 Dudley St
Providence, RI 02905-2401 - Phone
- (401) 453-7950
- Fax
- (401) 453-7950
- NPI assigned
- Nov 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNA20248 | RI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood of Southern New England, Inc. | Nurse Anesthetist, Certified Registered | Current |
Accepting new patients |
| A&B Anesthesia Associates, PC | Past |
Accepting new patients |
Locations
345 Whitney Ave
New Haven, CT 06511
Phone (203) 503-0450
175 Broad St
Providence, RI 02903
Phone (401) 421-9620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RNA20248 | RI | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN00831 | RI | Yes |
Addresses
Primary practice location
101 Dudley St
Providence, RI 02905-2401
Mailing address
94 Hedgerow Dr
Warwick, RI 02886-9515
Other practice location 1
1845 Post Rd
Warwick, RI 02886-1543
Phone (401) 232-6112
Other providers in Providence, RI
- Leah Rubin
- Lowell J. Rubin
- Mahra B Rubinstein
- Michael L Rubinstein
- W. Bruce Ruby II
- Rachel Ruderman-Looff
- Jody Rudnick
- Stephanie M. Ruest
- Barbara Ruf
- Carrie Elizabeth Ruggieri
All providers in Providence, RI · Certified Registered Nurse Anesthetist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2022. 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.