Individual
ALICIA YVONNE BRYANT-RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30 LAKE CENTER EXECUTIVE PARK, SUITE 100, MARLTON, NJ 08053
(856) 452-9901
Mailing address
30 LAKE CENTER EXEUTIVE PARK, SUITE 100, MARLTON, NJ 08053-3449
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00362400
NJ
363LA2200X
Adult Health Nurse Practitioner
SP007399
PA
Other
Enumeration date
04/13/2007
Last updated
11/20/2019
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