Provider Demographics
NPI:1275259830
Name:URRACA RODRIGUEZ, PRISCILA ISABEL (APRN)
Entity Type:Individual
Prefix:
First Name:PRISCILA
Middle Name:ISABEL
Last Name:URRACA RODRIGUEZ
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 FALLING TREE CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-7003
Mailing Address - Country:US
Mailing Address - Phone:407-879-2547
Mailing Address - Fax:
Practice Address - Street 1:2804 FALLING TREE CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-7003
Practice Address - Country:US
Practice Address - Phone:407-879-2547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-17
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022221363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily