Provider Demographics
NPI:1356455166
Name:RODEN, ELLA ELIZABETH (RN CDE)
Entity Type:Individual
Prefix:MS
First Name:ELLA
Middle Name:ELIZABETH
Last Name:RODEN
Suffix:
Gender:F
Credentials:RN CDE
Other - Prefix:
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Mailing Address - Street 1:713 EICHYBUSH RD
Mailing Address - Street 2:
Mailing Address - City:KINDERHOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12106-2605
Mailing Address - Country:US
Mailing Address - Phone:518-758-1572
Mailing Address - Fax:518-758-6595
Practice Address - Street 1:713 EICHYBUSH RD
Practice Address - Street 2:
Practice Address - City:KINDERHOOK
Practice Address - State:NY
Practice Address - Zip Code:12106-2605
Practice Address - Country:US
Practice Address - Phone:518-758-1572
Practice Address - Fax:518-758-6595
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1925731163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator