Provider Demographics
NPI:1023228368
Name:RODNEY, MARIA R (MSN, APRN, BC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:R
Last Name:RODNEY
Suffix:
Gender:F
Credentials:MSN, APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 SOCIETY ST
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1553
Mailing Address - Country:US
Mailing Address - Phone:770-754-5785
Mailing Address - Fax:770-754-9717
Practice Address - Street 1:2550 NORTHWINDS PKWY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-2241
Practice Address - Country:US
Practice Address - Phone:770-753-2224
Practice Address - Fax:770-753-2290
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN109329163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult