Doctor Name: | ERICA J. RODGERS |
NPI Number: | 1477557312 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | F.N.P. |
License Number: | 71001135A |
Business Practice Address: | 1441 N Gardner St Scottsburg, IN - 471707751 |
Business Phone Number: | 8127524055 |
Business Fax Number: | 8127525835 |
Mailing Address: | Po Box 677, SCOTTSBURG |
State: | IN |
Postal Code: | 471700677 |
Phone Number: | 8127524055 |
Fax Number: | 8127525835 |
NPI Enumeration Date: | 06/09/2005 |
NPI Last Update Date: | 01/25/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 71001135A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |