Individual
MS. ANGELA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4801 ALBERTA AVE, EL PASO, TX 79905
(915) 215-5300
(915) 215-8606
Mailing address
440 RAYNOLDS ST # 51015, EL PASO, TX 79905-1613
(915) 215-4480
(915) 215-5386
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP124679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
332680304
—
TX
01
—
341127YLPS
WELLMED PTAN
TX
Enumeration date
10/22/2013
Last updated
11/06/2019
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