Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 1058251 | TX |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 907357 | TX |
NPI | 1619646346 |
---|---|
Provider Name | Valerie Rodi |
First Address | Round Rock, TX 78681-4307 |
Second Address | Round Rock, TX 78681-4307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2021 |
Last Update Date | 04/11/2021 |