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NPI Code Detail

MEDICARE: RASHIDA AKILAH DODSON

MEDICARE: RASHIDA AKILAH DODSON
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
1163WP2201XAmbulatory Care Registered Nurse28170552AIN
2363LF0000XFamily Nurse Practitioner71010844AIN

General Provider Information

NPI Number : 1518509140
Entity Type Code : Individual
Provider Name (Legal Business Name) : RASHIDA AKILAH DODSON
Provider Business Mailing Address
First Line : 1217 S RANGELINE RD
Second Line :
City : CARMEL
State : IN
Zip : 46032-2519
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1217 S RANGELINE RD
Second Line :
City : CARMEL
State : IN
Zip : 46032-2519
Country : US
Telephone Number : 317-846-4818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/15/2019
Last Update Date : 02/12/2021

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