Provider Demographics
NPI:1336683028
Name:OGAR, RHODA
Entity Type:Individual
Prefix:
First Name:RHODA
Middle Name:
Last Name:OGAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RHODA
Other - Middle Name:
Other - Last Name:OGAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PMHNP
Mailing Address - Street 1:8682 BENJAMIN LN
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-5302
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8682 BENJAMIN LN
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-5302
Practice Address - Country:US
Practice Address - Phone:317-529-0474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-14
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71011031A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health