| Alicia Yvonne Bryant-rodgers, CRNP | |
|
30 Lake Center Executive Park, Suite 100, Marlton, NJ 08053 | |
| (856) 452-9901 | |
| Not Available |
| Full Name | Alicia Yvonne Bryant-rodgers |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Adult Health |
| Location | 30 Lake Center Executive Park, Marlton, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992929483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00362400 (New Jersey) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | SP007399 (Pennsylvania) | Secondary |
| Entity Name | University Of Penn-medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
| Mailing Address | Practice Location Address |
|---|---|
| Alicia Yvonne Bryant-rodgers, CRNP 30 Lake Center Exeutive Park, Suite 100, Marlton, NJ 08053-3449 Ph: () - | Alicia Yvonne Bryant-rodgers, CRNP 30 Lake Center Executive Park, Suite 100, Marlton, NJ 08053 Ph: (856) 452-9901 |
Dorothy Westlake, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Rt. 73 North, Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 | |
Phenita Sammantha Mouzon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 777 Route 70 E Ste G101, Marlton, NJ 08053 Phone: 856-818-4020 | |
Mrs. Lisa Spurlock Abrams, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 765 E Route 70, Building A, Marlton, NJ 08053 Phone: 856-797-4721 | |
Letisha Hogans, APN Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 765 Route 70 E Bldg A-101, Marlton, NJ 08053 Phone: 856-797-4800 | |
Mrs. Yingqiao Chen, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2003 Lincoln Dr W Ste B, Marlton, NJ 08053 Phone: 856-886-8839 Fax: 856-210-1874 | |
Ms. Fleurdeliz Alabanzas Germodo, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 Route 70 E Ste B, Marlton, NJ 08053 Phone: 856-596-9057 | |
Ms. Maria Terresa Pauciello, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Route 73 N Upper Level A & Main Level, Marlton, NJ 08053 Phone: 856-988-3444 Fax: 856-795-3625 |