Provider Demographics
NPI:1235498015
Name:RUDE, LINSEY MARIE (RN)
Entity type:Individual
Prefix:MS
First Name:LINSEY
Middle Name:MARIE
Last Name:RUDE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:LINSEY
Other - Middle Name:MARIE
Other - Last Name:WIESEMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:312 W 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204
Mailing Address - Country:US
Mailing Address - Phone:509-389-6189
Mailing Address - Fax:509-327-0163
Practice Address - Street 1:6019 AVON LN
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-9513
Practice Address - Country:US
Practice Address - Phone:406-529-2749
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-14
Last Update Date:2024-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT34770163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse