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Individual

LUIS RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AGACNP-BC

Contact information

Practice address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 479-4850
(702) 966-8699
Mailing address
6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113-2133
(702) 216-3466
(702) 671-6883

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
825391
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
825391
STATE LICENSE
NV
Enumeration date
10/14/2019
Last updated
10/04/2022
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