Individual
MRS. PAMELA MICHELLE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1485 CHESTER BLVD, REID PEDIATRIC & INTERNAL MEDICINE, RICHMOND, IN 47374-1919
(765) 966-5527
(765) 966-5528
Mailing address
1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 935-8581
(765) 935-1171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002527A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000855986
ANTHEM
IN
05
—
0100846
—
OH
05
—
200877930
—
IN
Enumeration date
09/28/2007
Last updated
05/18/2021
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