Individual provider · Type 1 NPI

Courtney Rodich, APN, ACNS-BC

Nurse Practitioner · Peoria, IL

NPI number 1649657024 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Mailing address

8000 W Tuscarora Rd
Mapleton, IL 61547-9483

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209-012789 (IL)
Adult Health Clinical Nurse Specialist 364SA2200X209012789 (IL)

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 1649657024

Courtney Rodich, APN, ACNS-BC's National Provider Identifier is 1649657024, issued on May 5, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Peoria, IL. The record was last updated on Aug 24, 2017.