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Individual

ANNA RODIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGPCNP-BC

Contact information

Practice address
100 S JUNIPER ST FL 3, PHILADELPHIA, PA 19107-1316
(866) 849-0692
(888) 973-8821
Mailing address
PO BOX 211699, EAGAN, MN 55121-3699
(866) 849-0692
(888) 973-8821

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
31411
SC
363L00000X
Nurse Practitioner
40872
TN
363L00000X
Nurse Practitioner
APRN11044702
FL
363L00000X
Nurse Practitioner
GAA-NP004502
GA
363L00000X
Nurse Practitioner
SP035137
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
10393
CT

Other

Enumeration date
03/13/2022
Last updated
02/19/2026
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