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Individual
SUSAN RENE RODGERS
Active
Individual
SUSAN RENE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
213696
NC
363L00000X
Nurse Practitioner
Primary
5005993
NC
363LA2100X
Acute Care Nurse Practitioner
5005993
NC
Other
Enumeration date
09/11/2012
Last updated
05/19/2025
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