Individual
CRYSTAL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4947
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-0445
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
984726
TX
164W00000X
Licensed Practical Nurse
319317
TX
164W00000X
Licensed Practical Nurse
PN5209881
FL
Other
Enumeration date
10/03/2023
Last updated
10/03/2023
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