Individual
TYESHA RODRIGUEZ-GIST
Active
Individual
TYESHA RODRIGUEZ-GIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0043402
DE
363LA2100X
Acute Care Nurse Practitioner
Primary
LP-0010699
DE
363LA2200X
Adult Health Nurse Practitioner
LP-0010699
DE
363LG0600X
Gerontology Nurse Practitioner
LP-0010699
DE
Other
Enumeration date
12/06/2023
Last updated
07/25/2024
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