MEDICARE: SIOBHAN SKYE ROHDE RN

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1801775390
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SIOBHAN SKYE ROHDE RN

Provider Business Mailing Address
First Line	:	2208 SUMAC DR
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-4149
Country	:	US
Telephone Number	:	626-622-2105
Fax Number	:

Provider Business Practice Location Address
First Line	:	2208 SUMAC DR
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-4149
Country	:	US
Telephone Number	:	626-622-2105
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/28/2025
Last Update Date	:	08/28/2025

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