Doctor Name: | MRS. JUDITH STEINERT RODEMICH |
NPI Number: | 1114015096 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP |
License Number: | R097596 |
Business Practice Address: | 401 Bow St Elkton, MD - 219215501 |
Business Phone Number: | 4109965135 |
Business Fax Number: | 4109961019 |
Mailing Address: | 71 Silchester Ct, ELKTON |
State: | MD |
Postal Code: | 219212622 |
Phone Number: | 4103987919 |
Fax Number: | |
NPI Enumeration Date: | 10/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | R097596 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |