IndividualActive
Vickie Rodgers
NPI 1295305183 · Gerontology Registered Nurse · Glen Carbon, IL
Provider details
- NPI number
- 1295305183
- Entity type
- Individual
- Primary specialty
- Gerontology Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 041-256-958 (IL)
Specialties & taxonomies
Nursing Service Providers
Practice location
27 Auerbach Pl
Glen Carbon, IL 62034-1596
Phone: (618) 205-4244
Approximate (ZIP-level) locationGet directions
Mailing address
27 Auerbach Pl
Glen Carbon, IL 62034-1596
Registry dates
- Enumerated
- 2021-07-01
- Last updated
- 2021-07-01
- Certified
- 2021-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.