Provider Demographics
NPI:1912993916
Name:RODIER, LAUREN PHYLLIS (APRN)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:PHYLLIS
Last Name:RODIER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:NH
Mailing Address - Zip Code:03561-4613
Mailing Address - Country:US
Mailing Address - Phone:505-288-0706
Mailing Address - Fax:
Practice Address - Street 1:264 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:NH
Practice Address - Zip Code:03561-4101
Practice Address - Country:US
Practice Address - Phone:603-575-6700
Practice Address - Fax:603-575-6778
Is Sole Proprietor?:No
Enumeration Date:2005-09-25
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT1010124226363LP2300X
VTNP101.0124226163WW0101X, 363LF0000X, 363LP2300X, 363LW0102X
HI739363LF0000X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health