Individual
ANNA M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 REVERE ST, EL PASO, TX 79905-1633
(915) 564-6159
Mailing address
384 EMERALD PARK DR, HORIZON CITY, TX 79928-6560
(719) 504-8957
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
003475
PR
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
382984964
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
382984964
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720304900
EPVAHCS
TX
Enumeration date
06/11/2026
Last updated
06/18/2026
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