Individual
LAURIE ANNE RODENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
17722 TALBOT RD S, RENTON, WA 98055-5744
(425) 690-3479
(425) 690-9479
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
2016022819
MO
367A00000X
Advanced Practice Midwife
C-APN.0000940-C-CNM
CO
367A00000X
Advanced Practice Midwife
Primary
N361050020
WA
Other
Enumeration date
07/01/2016
Last updated
05/21/2020
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