1205365954 NPI number — DR. CHRISTINE DAWN RODENBO DNP, FNP-BC

Table of content: DR. CHRISTINE DAWN RODENBO DNP, FNP-BC (NPI 1205365954)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1205365954 NPI number — DR. CHRISTINE DAWN RODENBO DNP, FNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RODENBO
Provider First Name:
CHRISTINE
Provider Middle Name:
DAWN
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DNP, FNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1205365954
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/21/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
324 FAIRFIELD AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOLLY
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48442-1255
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
841 CENTRAL ST STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03235-2053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-934-1464
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/07/2017

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  4704298425 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LF0000X , with the licence number: 090362-23 , registered in the state of NH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 090362-23 . This is a "ARPN LICENSE" identifier , issued by the state of ( NH ) . This identifiers is of the category "OTHER".