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NPI Code Detail

MEDICARE: MRS. APRIL ELIZABETH RODGERS CPNP-PC

MEDICARE:  MRS. APRIL ELIZABETH RODGERS  CPNP-PC
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
1363LP0200XPediatric Nurse Practitioner697143TX
2363LP0200XPediatric Nurse PractitionerAP119240TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538467980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. APRIL ELIZABETH RODGERS CPNP-PC
Provider Business Mailing Address
First Line : 205 E UNIVERSITY AVE STE 200
Second Line :
City : GEORGETOWN
State : TX
Zip : 78626-6821
Country : US
Telephone Number : 512-686-0207
Fax Number : 512-869-2940
Provider Business Practice Location Address
First Line : 605 OLD AUSTIN HWY
Second Line :
City : BASTROP
State : TX
Zip : 78602-5034
Country : US
Telephone Number : 877-800-5722
Fax Number : 512-869-2940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2011
Last Update Date : 03/08/2021

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