Individual
DIANA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5660 W FLAMINGO RD, LAS VEGAS, NV 89103-0171
(702) 748-9148
(414) 363-3707
Mailing address
5660 W FLAMINGO RD STE B, LAS VEGAS, NV 89103-2312
(702) 748-9148
(414) 363-3707
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
817247
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215649405
—
NV
01
—
817247
STATE LICENSE
NV
Enumeration date
12/19/2022
Last updated
01/01/2026
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