Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alice Rose Bodlak, RN

Individual provider Case Management Registered Nurse · NPI 1164603569

Alice Rose Bodlak, RN is a Case Management Registered Nurse in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2191 Johnson Ave
San Luis Obispo, CA 93401-4534
Phone: (805) 781-1744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Management Registered Nurse (primary) Taxonomy 163WC0400X · Licence RN484275 (CA)

Record details

NPI number1164603569
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedNovember 14, 2007
Last updated in NPPESNovember 14, 2007

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