Rodak, Colleen Mary

Rodak, Colleen Mary is an individual health care provider with primary practice located at 8901 Wisconsin Ave , Bethesda MD 20889-0004. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Rodak, Colleen Mary can be contacted via phone (301) 295-8723.

Contact Information

Primary practice address
8901 Wisconsin Ave Bethesda MD 20889-0004
Phone: (301) 295-8723
Fax: (301) 319-8240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN63680 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN63680 District of Columbia
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X RN63680 District of Columbia

Profile Details

NPI number 1154490704
LBN Legal business name Rodak, Colleen Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Feb 16th, 2017 - about 8 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 1154490704 NPPES
District of Columbia MEDICAID 037921200

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