Individual
ANNIE MARIE RODMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN/FNP
Contact information
Practice address
1510 E WAGON WHEEL LN, SUITE 106, FORT MOHAVE, AZ 86426-6697
(928) 788-9378
(928) 788-9381
Mailing address
1510 E WAGON WHEEL LN, SUITE 106, FORT MOHAVE, AZ 86426-6697
(928) 788-9378
(928) 788-9381
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN094835 AP1618
AZ
Other
Enumeration date
01/10/2011
Last updated
01/10/2011
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