Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | APRN11003278 | FL |
NPI | 1033762182 |
---|---|
Provider Name | Yanet Rodriguez |
First Address | Hialeah, FL 33015-4614 |
Second Address | Hialeah, FL 33013-3810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2019 |
Last Update Date | 18/07/2019 |