Individual
VIVIAN ROSARIO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 FOXVALE AVE, NORTH LAS VEGAS, NV 89032
(702) 619-1859
(702) 463-0104
Mailing address
417 FOXVALE AVE, NORTH LAS VEGAS, NV 89032-6150
(702) 619-1859
(702) 463-0104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
843412-01
NY
363LF0000X
Family Nurse Practitioner
Primary
855214
NV
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002163245
DL
NV
Enumeration date
06/14/2018
Last updated
02/17/2026
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