Kimberly Rodriguez, RN
Registered Nurse, General Practice in Bronx, NY. Individual provider (NPI-1).
NPI number1316618002
StatusActive
Last updated in NPPESSep 23, 2021
Details
- NPI
- 1316618002
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Rodriguez
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 23, 2021
- Certification date
- Sep 23, 2021
- Last updated
- Sep 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 790144 | NY | Yes |
Practice location
828 E 149th St Apt 812Bronx, NY 10455-0967
Phone 929-299-9799
Mailing address
828 E 149th St Apt 812Bronx, NY 10455-0967
Phone 929-299-9799
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