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Restydale Rodriguez Isip, FNP

Nurse Practitioner, Family in Corpus Christi, TX. Individual provider (NPI-1).

NPI number1184200461
StatusActive
Last updated in NPPESApr 23, 2021

Details

NPI
1184200461
Entity type
Individual (NPI-1)
Name
Mr. Restydale Rodriguez Isip
Credential
FNP
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 18, 2021
Certification date
Apr 23, 2021
Last updated
Apr 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAP146158TXYes

Practice location

6102 Parkway Dr. Suite 106
Corpus Christi, TX 78414

Phone 361-205-1024

Mailing address

1802 Ennis Joslin Rd Apt 1115
Corpus Christi, TX 78412-4352

Phone 361-549-0626

Other practice locations

5826 Esplanade Dr Ste 304b
Corpus Christi, TX 78414-4173

Phone 361-226-1908

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