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NPI Code Detail

MEDICARE: DENISE M RODY N.P.

MEDICARE: DENISE M RODY N.P.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner71000326AIN

General Provider Information

NPI Number : 1336418003
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE M RODY N.P.
Provider Business Mailing Address
First Line : 755 WEST CARMEL DR.
Second Line : STE. 101
City : CARMEL
State : IN
Zip : 46032-5875
Country : US
Telephone Number : 317-846-2396
Fax Number : 317-846-1699
Provider Business Practice Location Address
First Line : 755 WEST CARMEL DR.
Second Line : STE. 101
City : CARMEL
State : IN
Zip : 46032-5875
Country : US
Telephone Number : 317-846-2396
Fax Number : 317-846-1699
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2011
Last Update Date : 12/23/2011

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