Individual
IRIEL P RODOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
4212 BLUEBONNET BLVD STE A, BATON ROUGE, LA 70809-9675
(225) 399-0001
Mailing address
16445 OAKVIEW DR, PRAIRIEVILLE, LA 70769-4844
(225) 439-8846
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN152571
LA
363L00000X
Nurse Practitioner
Primary
230763
LA
Other
Enumeration date
06/05/2023
Last updated
06/09/2023
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