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Individual
NICHOLAS RODRIGUEZ
Active
Individual
NICHOLAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2009007218
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2026033582
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2009007218
MO
Other
Enumeration date
07/15/2024
Last updated
07/19/2026
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