Organization
PROFESSIONAL NURSE PRACTITIONER
Active
Other names
Marisol Rodriguez
Organization subpart
No
Provider details
NPI number
Authorized official
MARISOL RODRIGUEZ APRN (OWNER)
(475) 302-6667
Entity
Organization
Contact information
Practice address
127 HAMPTON CT, NEWINGTON, CT 06111-1144
(860) 983-9965
Mailing address
127 HAMPTON CT, NEWINGTON, CT 06111-1144
(860) 983-9965
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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