Individual
NIKITA RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 JACKSON ST, ANDERSON, IN 46016-4337
(765) 649-2511
Mailing address
10936 EATON CT, FISHERS, IN 46038-4738
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28210401A
IN
Other
Enumeration date
11/04/2019
Last updated
10/03/2023
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