Individual
DANIELLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10942 BASKERVILLE RD, REISTERSTOWN, MD 21136-6422
(443) 580-6405
Mailing address
10942 BASKERVILLE RD, REISTERSTOWN, MD 21136-6422
(443) 580-6405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022063890
MD
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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