Individual
JAVIER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
2523 WENDELL AVE, LOUISVILLE, KY 40205-3011
(615) 438-4193
Mailing address
2523 WENDELL AVE, LOUISVILLE, KY 40205-3011
(615) 438-4193
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
20532
TN
363LA2100X
Acute Care Nurse Practitioner
Primary
3009896
KY
Other
Enumeration date
11/05/2015
Last updated
05/31/2016
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