Organization
PSYCH 48
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM RODRIGUEZ DNP (OWNER)
(480) 544-1884
Entity
Organization
Contact information
Practice address
7127 W IRWIN AVE, LAVEEN, AZ 85339-7039
(480) 544-1884
Mailing address
7127 W IRWIN AVE, LAVEEN, AZ 85339-7039
(480) 544-1884
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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