Female

Amy Roden NP-C

Full Name

Amy Roden NP-C

NPI Number

1184013153

NPI Type

Individual Provider

Gender

Female

Enumeration Date

01/14/2015

Specialties

(Taxonomies)

Code

363LF0000X

Primary Taxonomy

No

Licenses

State

Florida
Illinois
Kentucky
Louisiana
Michigan
Minnesota
Mississippi
North Dakota
Oklahoma

License Number

11016337
277.002324
3015618
234519
4704289654
7329
906525
R49938
205869

Contact
Information

Purpose

Mailing
Location

Address

135 RONSAN ST SW
1514 JEFFERSON HIGHWAY

City

Sugarcreek
New Orleans

State

OH
LA

Postal Code

44681-9353
70121-2429

Country

US
US

Telephone Number

(330) 204-9630
(504) 842-4000

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/24/2024

Provider Address