Individual
MARGARET ANN RODENBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
7910 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4159
(260) 484-8830
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(239) 236-2775
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28090097A
IN
363L00000X
Nurse Practitioner
Primary
71002958A
IN
363LF0000X
Family Nurse Practitioner
71002958A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000025147
ANTHEM PIN
IN
05
—
200954540
—
IN
05
—
3046153
—
OH
Enumeration date
04/28/2009
Last updated
05/15/2025
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