Individual
BONNIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
123 ED SCHMIDT BLVD STE 140, HUTTO, TX 78634-5586
(877) 800-5722
Mailing address
205 E UNIVERSITY AVE STE 200, GEORGETOWN, TX 78626-6821
(512) 994-1933
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1007564
TX
Other
Enumeration date
08/06/2020
Last updated
06/25/2021
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