Individual provider · Type 1 NPI
Susan Rene Rodgers, NURSE PRACTITIONER
Nurse Practitioner · Los Angeles, CA
Practice location
11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 213696 (NC) |
| Acute Care Nurse Practitioner | 363LA2100X | 5005993 (NC) |
| Nurse Practitioner Primary | 363L00000X | 5005993 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1124378781
Susan Rene Rodgers, NURSE PRACTITIONER's National Provider Identifier is 1124378781, issued on Sep 11, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 19, 2025.