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RONNIE TARSHIS BODKIN NP
NPI 1114040425
Nurse Practitioner - Family in Wayland, MA

Active since April 10, 2007
118 WOODRIDGE RD, WAYLAND, MA 01778(508) 358-2480 Get Directions Write a Review

NPPES record last updated: December 13, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ronnie Tarshis Bodkin Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RONNIE TARSHIS BODKIN NP (NPI 1114040425) is an individual family provider in Wayland, Massachusetts, licensed in Massachusetts (117434) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1114040425
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRONNIE TARSHIS BODKINCredential: NP
Location Address118 WOODRIDGE RDWayland, MA 01778-3724
Mailing Address119 Windsor StCambridge, MA 02139-3647
Phone(508) 358-2480
Sole ProprietorYes
Enumeration DateApril 10, 2007
Last NPPES UpdateDecember 13, 2012
✔ NPI 1114040425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · 117434
118 WOODRIDGE RD, Wayland, MA 01778
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Other Identifiers 1

Medicare ID-Type UnspecifiedNP1540MA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronnie Bodkin's NPI number?

The NPI number for Ronnie Bodkin is 1114040425. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Ronnie Bodkin located?

Ronnie Bodkin practices at 118 Woodridge Rd, Wayland, MA 01778. The listed phone number is (508) 358-2480.

What is Ronnie Bodkin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Ronnie Bodkin was last updated on December 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.