Individual
MARCELLA LYNNE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
226 MELLOR DR, FUQUAY VARINA, NC 27526-4008
(919) 434-4158
Mailing address
226 MELLOR DR, FUQUAY VARINA, NC 27526-4008
(919) 434-4158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.559763
IL
163W00000X
Registered Nurse
10020124
OR
163W00000X
Registered Nurse
116207
HI
163W00000X
Registered Nurse
Primary
183653
NC
Other
Enumeration date
08/05/2024
Last updated
09/02/2024
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