Provider Demographics
NPI:1497556062
Name:THERMITUS, RODRERICA CHRISTIE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:RODRERICA
Middle Name:CHRISTIE
Last Name:THERMITUS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 CHESTNUT ST STE 1226
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-2737
Mailing Address - Country:US
Mailing Address - Phone:267-939-0896
Mailing Address - Fax:
Practice Address - Street 1:725 E ERIE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-1210
Practice Address - Country:US
Practice Address - Phone:215-427-6986
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-20
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031971363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health