Provider Demographics
NPI:1043711419
Name:RODRIGUEZ, PATRICIA LAUREN PRINS (APRN,FNP-BC,PMHNP-BC)
Entity Type:Individual
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First Name:PATRICIA
Middle Name:LAUREN PRINS
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:APRN,FNP-BC,PMHNP-BC
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:104 CRANDON BLVD STE 311A
Mailing Address - Street 2:
Mailing Address - City:KEY BISCAYNE
Mailing Address - State:FL
Mailing Address - Zip Code:33149-1542
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:104 CRANDON BLVD STE 311A
Practice Address - Street 2:
Practice Address - City:KEY BISCAYNE
Practice Address - State:FL
Practice Address - Zip Code:33149-1542
Practice Address - Country:US
Practice Address - Phone:305-998-1640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-21
Last Update Date:2023-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9309752363LF0000X
FLAPRN9309752363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily