Shandrea Rodriguez in Providence - Registered Nurse

Shandrea Rodriguez - NPI 1629278379

Shandrea Rodriguez is a Registered Nurse in Providence, Rhode Island. Shandrea Rodriguez practices all healthcare services and medical treatments related to Registered Nurse. The NPI Number for Shandrea Rodriguez is 1629278379. The last update date is 2021-11-01.

Shandrea Rodriguez's current location address is 160 Wayland Ave, Providence, Rhode Island. You can contact this provider via phone number 4015211221 and fax number 4014544189. The mailing address for Shandrea Rodriguez is 160 Wayland Ave, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Shandrea Rodriguez
Address 160 Wayland Ave, Providence, Rhode Island
Phone Number 4015211221
Fax Number 4014544189
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1629278379
Provider Enumeration Date 2007-07-20
Last Updated Date 2021-11-01

Provider Mailing Address Detail

Address 160 Wayland Ave
City Providence
State Rhode Island (RI)
Post Code 29064304
Phone Number 4015211221
Fax Number 4014544189

Provider's Primary Taxonomy Detail

Speciality Registered Nurse
Taxonomy 163W00000X
Licence No RN42313
Definition:
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
SR67488 RI --

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FAQs about Shandrea Rodriguez

What is the unique provider identifier assigned to Shandrea Rodriguez?

The Shandrea Rodriguez has been issued the NPI (National Provider Identifier) 1629278379 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Shandrea Rodriguez?

The Shandrea Rodriguez is situated at 160 Wayland Ave, in the city of Providence, state of RI, with the zip code 29064304.

What is Shandrea Rodriguez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Shandrea Rodriguez is Registered Nurse, and the taxonomy code that classifies this field of practice is 163W00000X.

On what date did the Shandrea Rodriguez receive its 1629278379 assignment from the Centers for Medicare & Medicaid Services?

The Shandrea Rodriguez was assigned its 1629278379 by the Centers for Medicare & Medicaid Services on 2007-07-20.

As of what date was the information regarding Shandrea Rodriguez, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shandrea Rodriguez, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-11-01.

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