Provider Demographics
NPI:1588457030
Name:ROHDE, CAROL
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:ROHDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58364 8805 RD
Mailing Address - Street 2:
Mailing Address - City:PONCA
Mailing Address - State:NE
Mailing Address - Zip Code:68770-7058
Mailing Address - Country:US
Mailing Address - Phone:402-992-4510
Mailing Address - Fax:402-992-4510
Practice Address - Street 1:315 S NEBRASKA ST
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NE
Practice Address - Zip Code:68787-2115
Practice Address - Country:US
Practice Address - Phone:402-992-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant