Individual
ANETA RODERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
49 HARRY KEMP WAY, PROVINCETOWN, MA 02657
(508) 487-9395
Mailing address
303 NAUSET GREEN WAY, EASTHAM, MA 02642
(508) 237-6105
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN10009403
MA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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