Individual
MRS. MIRNA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
29 AVENUE E, NORWALK, CT 06854-2613
(203) 384-3000
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
Taxonomy
Speciality
Code
Description
License number
State
163WN0800X
Neuroscience Registered Nurse
114262
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
12104
CT
Other
Enumeration date
08/02/2021
Last updated
08/16/2023
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