Individual
IENA A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
110 KINGSLEY LN STE 312, NORFOLK, VA 23505-4618
(757) 354-2885
Mailing address
110 KINGSLEY LN STE 312, NORFOLK, VA 23505-4618
(757) 354-2885
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024175766
VA
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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