ROCHELLE ALLEXIA CODLYN


Address: 2268 Manley Dr, Sun Prairie, WI 53590-9688
Phone: 6082864641

ROCHELLE ALLEXIA CODLYN (NPI# 1023643434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023643434
Entity Type Individual
Full Name ROCHELLE ALLEXIA CODLYN
Credential MBA,MSN, AGNP-C
Practice Address 2268 Manley Dr
Sun Prairie
WI 53590-9688
Practice Telephone 6082864641
Mailing Telephone 6082864641
Enumeration Date 2020-03-05
Last Update Date 2020-03-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
AG01200090 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2268 MANLEY DR
City SUN PRAIRIE
State WI
Zip Code 53590-9688

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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City SUN PRAIRIE
Zip Code 53590

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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