Individual
ELLIOT RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AG-ACNP
Contact information
Practice address
376 W.10TH AVENUE, 760 PRIOR HALL, COLUMBUS, OH 43210-1238
(614) 293-8305
(614) 293-3124
Mailing address
376 W 10TH AVE, COLUMBUS, OH 43210-1280
(614) 293-8305
(614) 293-3124
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.022648
OH
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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