Individual
STEPHANIE GWEN RODENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11100 S MEMORIAL PKWY, HUNTSVILLE, AL 35803-2122
(256) 650-4665
(256) 650-4624
Mailing address
11100 S MEMORIAL PKWY, HUNTSVILLE, AL 35803-2122
(256) 650-4665
(256) 650-4665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-148359
AL
Other
Enumeration date
12/18/2020
Last updated
03/10/2021
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