Individual
KRISTEN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
424 E 34TH ST, NEW YORK, NY 10016-4901
(212) 263-4615
Mailing address
424 E 34TH ST, NEW YORK, NY 10016-4901
(516) 263-2298
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
674532-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
674532-1
NURSING
NY
Enumeration date
06/03/2019
Last updated
01/23/2024
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