Individual
ANNA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
191087-30
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
11279-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558939397
—
WI
Enumeration date
06/17/2021
Last updated
02/03/2023
Update your record
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