Provider Demographics
NPI:1710682265
Name:RODNEY, ANA LYNNETTEJANAE
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:LYNNETTEJANAE
Last Name:RODNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 POWDER VIEW CT
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4796
Mailing Address - Country:US
Mailing Address - Phone:443-682-3669
Mailing Address - Fax:
Practice Address - Street 1:1101 W PRATT ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21223-2693
Practice Address - Country:US
Practice Address - Phone:443-889-0930
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula