Individual
DARISE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(626) 256-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95036244
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95036244
CA
Other
Enumeration date
05/18/2026
Last updated
08/06/2026
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