Individual
NICHOLAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
4301 JONES BRIDGE RD, BETHESDA, MD 20814-4799
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
2009007218
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
2009007218
MO
Other
Enumeration date
07/15/2024
Last updated
07/17/2025
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