Provider Demographics
NPI:1073504429
Name:ROTHANS, MINDI L (CDC-S, CPC)
Entity Type:Individual
Prefix:MS
First Name:MINDI
Middle Name:L
Last Name:ROTHANS
Suffix:
Gender:F
Credentials:CDC-S, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 74097
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85087-4097
Mailing Address - Country:US
Mailing Address - Phone:800-300-0239
Mailing Address - Fax:
Practice Address - Street 1:3434 W ANTHEM WAY
Practice Address - Street 2:SUITE 118-280
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85086-0000
Practice Address - Country:US
Practice Address - Phone:800-300-0239
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00069437246YC3302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246YC3302XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationCoding Specialist, Physician Office Based