Individual
REBECCA J RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4006 WASHINGTON RD, KENOSHA, WI 53144-4819
(262) 656-0044
(262) 925-3255
Mailing address
3517 29TH ST, KENOSHA, WI 53144-1663
(262) 705-6846
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
16358-33
WI
Other
Enumeration date
08/29/2012
Last updated
09/24/2025
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