Individual
MRS. AMANDA ELIZABETH RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
900 E GRANT ST, APPLETON, WI 54911-3487
(920) 831-5050
Mailing address
2594 SAGE DR, GREEN BAY, WI 54302-5266
(920) 579-0424
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10410
WI
363LF0000X
Family Nurse Practitioner
10410-33
WI
Other
Enumeration date
01/08/2021
Last updated
01/19/2021
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