Individual
DANIELLE SUZANNE RODRIGUEZ
Active
Individual
DANIELLE SUZANNE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
227378
IL
363LF0000X
Family Nurse Practitioner
Primary
209025968
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209025968
IL
Other
Enumeration date
07/17/2020
Last updated
10/31/2023
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