Individual
MRS. MICHELLE JEAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
11390 W THEODORE TRECKER WAY, WEST ALLIS, WI 53214-1135
(414) 928-1401
Mailing address
3145 S 106TH ST, WEST ALLIS, WI 53227-4119
(414) 687-3630
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
123205
WI
163WH0200X
Home Health Registered Nurse
123205
WI
Other
Enumeration date
10/03/2016
Last updated
08/17/2021
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