Individual
RACHAEL LAUREN RODIMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3920 ST FRANCIS WAY STE 100, LAFAYETTE, IN 47905-4917
(765) 428-5990
(765) 428-5896
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28204289A
IN
363L00000X
Nurse Practitioner
71006751A
IN
363LW0102X
Women's Health Nurse Practitioner
Primary
71006751A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001062710
ANTHEM
—
05
—
201407900
—
IN
Enumeration date
04/06/2016
Last updated
04/04/2023
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