Individual
CHRISTINE MICHELLE RODESILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
152 CEDAR LAKE RD, BLAIRSTOWN, NJ 07825-9635
(314) 348-3170
Mailing address
152 CEDAR LAKE RD, BLAIRSTOWN, NJ 07825-9635
(314) 348-3170
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2016044202
MO
363LF0000X
Family Nurse Practitioner
Primary
26NJ00758700
NJ
363LP2300X
Primary Care Nurse Practitioner
26NJ00758700
NJ
Other
Enumeration date
01/24/2017
Last updated
06/17/2022
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