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

Susan Rene Rodgers, NURSEPRACTITIONER

Individual provider Registered Nurse · NPI 1124378781

Susan Rene Rodgers, NURSEPRACTITIONER is a Registered Nurse in Los Angeles, California. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
Specialties on file
3

Practice location Address checks out

11301 Wilshire Blvd
Los Angeles, CA 90073-1003
Phone: (310) 757-4597
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5005993 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 213696 (NC)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 5005993 (NC)

Record details

NPI number1124378781
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 11, 2012
Last updated in NPPESMay 19, 2025
Certification dateMay 19, 2025

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