Provider Demographics
NPI:1467174714
Name:RODRIGUEZ, ANA M (ND)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:M
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 MCDONOGH RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1009
Mailing Address - Country:US
Mailing Address - Phone:410-241-9443
Mailing Address - Fax:
Practice Address - Street 1:522 CHESAPEAKE AVE
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-3147
Practice Address - Country:US
Practice Address - Phone:443-758-6778
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-14
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT175F00000X
MDJ0000079175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath