Individual
DESARAE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
401 E CHESTNUT ST UNIT 690, LOUISVILLE, KY 40202-5706
(502) 587-4384
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
(502) 588-4710
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4015679
KY
Other
Enumeration date
04/22/2024
Last updated
04/25/2024
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