Provider Demographics
NPI:1578503140
Name:RODRIGUEZ, MARIA LOURDES MARTIREZ (NNP/APRN)
Entity Type:Individual
Prefix:MRS
First Name:MARIA LOURDES
Middle Name:MARTIREZ
Last Name:RODRIGUEZ
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Gender:F
Credentials:NNP/APRN
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Mailing Address - Street 1:1140 EAST FORT PIERCE 12
Mailing Address - Street 2:SPECTRUM HEALTHCARE RESOURCES
Mailing Address - City:ST. GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790
Mailing Address - Country:US
Mailing Address - Phone:436-668-4854
Mailing Address - Fax:
Practice Address - Street 1:SPECTRUM HEALTHCARE RESOURCES
Practice Address - Street 2:6760 CORPORATE DRIVE SUITE 220
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80919
Practice Address - Country:US
Practice Address - Phone:800-288-8044
Practice Address - Fax:719-598-7945
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2012-03-21
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Provider Licenses
StateLicense IDTaxonomies
UT5977278-8900363LN0000X
NVAPN000967363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal