Individual
JOHANNA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
62 ALBIN RD, BOW, NH 03304-3707
(603) 703-9622
Mailing address
62 ALBIN RD, BOW, NH 03304-3707
(603) 703-9622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
NH
Other
Enumeration date
05/22/2020
Last updated
05/22/2020
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