Individual
CLARE MARIE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2191 DEFENSE HWY, SUITE 201, CROFTON, MD 21114-2931
(410) 451-9091
(410) 451-9094
Mailing address
2191 DEFENSE HWY, SUITE 201, CROFTON, MD 21114-2931
(410) 451-9091
(410) 451-9094
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R063809
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R063809
STATE LICENSE
MD
Enumeration date
06/13/2007
Last updated
07/08/2007
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