Individual
MR. DUNCAN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
100 NORTH, DANVILLE, PA 17822-0001
(570) 271-6211
Mailing address
2567 EUCLID AVE, DUBOISTOWN, PA 17702-6767
(570) 350-2113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN703531
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024819
PA
Other
Enumeration date
12/23/2021
Last updated
12/23/2021
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