Provider Demographics
NPI:1881208536
Name:WEBER, RUDOLF (FNP-C)
Entity Type:Individual
Prefix:
First Name:RUDOLF
Middle Name:
Last Name:WEBER
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13777 PEARL RD
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-4900
Mailing Address - Country:US
Mailing Address - Phone:440-238-8360
Mailing Address - Fax:
Practice Address - Street 1:30791 DETROIT RD
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-1835
Practice Address - Country:US
Practice Address - Phone:440-835-3271
Practice Address - Fax:440-899-6791
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.434721163W00000X
OHAPRN.CNP.0029689363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse