Individual
NANCY MARIE RODECAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
2665 N ATLANTIC AVE # 343, DAYTONA BEACH, FL 32118-3205
(386) 424-1584
(386) 410-4800
Mailing address
2665 N ATLANTIC AVE # 343, DAYTONA BEACH, FL 32118-3205
(386) 481-7836
(332) 279-4811
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11004178
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201171240
—
IN
Enumeration date
07/08/2013
Last updated
09/23/2025
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