Individual
MRS. KIMBERLY RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1209 S 1ST AVE, PHOENIX, AZ 85003-2692
(602) 258-6797
Mailing address
305 W MESQUITE ST, CHANDLER, AZ 85225-2663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
241963
AZ
Other
Enumeration date
05/19/2026
Last updated
07/21/2026
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