Individual
AWILDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
830 OLD LANCASTER RD STE 206, BRYN MAWR, PA 19010-3118
(484) 380-3094
Mailing address
830 OLD LANCASTER RD STE 206, BRYN MAWR, PA 19010-3118
(484) 380-3094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP023218
PA
363LA2200X
Adult Health Nurse Practitioner
SP023218
PA
363LP2300X
Primary Care Nurse Practitioner
SP023218
PA
Other
Enumeration date
02/05/2021
Last updated
05/31/2025
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