Provider Demographics
NPI: | 1518240639 |
---|---|
Name: | RODRIGUEZ, HELEN ELIZABETH (DNP, PMHNP-BC, FNP-C) |
Entity Type: | Individual |
Prefix: | MISS |
First Name: | HELEN |
Middle Name: | ELIZABETH |
Last Name: | RODRIGUEZ |
Suffix: | |
Gender: | F |
Credentials: | DNP, PMHNP-BC, FNP-C |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | PO BOX 16863 |
Mailing Address - Street 2: | |
Mailing Address - City: | WEST PALM BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33416-6863 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1201 NW 16TH ST DEPT. VETERANS AFFAIRS |
Practice Address - Street 2: | VA HEALTHCARE SYSTEM |
Practice Address - City: | MIAMI |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33125-1624 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-575-5000 |
Practice Address - Fax: | |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2011-09-25 |
Last Update Date: | 2019-10-19 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 9275101 | 363LF0000X |
FL | APRN9275101 | 363LF0000X, 363LP0808X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
No | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |