Rodecap, Nancy Marie

Rodecap, Nancy Marie is an individual health care provider with primary practice located at 161 N Causeway Ste A , New Smyrna Beach FL 32169-5328. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Rodecap, Nancy Marie can be contacted via phone (386) 424-1584.

Contact Information

Primary practice address
161 N Causeway Ste A New Smyrna Beach FL 32169-5328
Phone: (386) 424-1584
Fax: (386) 410-4800
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004481A Indiana

Profile Details

NPI number 1346681301
LBN Legal business name Rodecap, Nancy Marie
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2013
Last updated Mar 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346681301 NPPES
Indiana MEDICAID 201171240

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