Provider Demographics
NPI:1659770865
Name:RODRIGUEZ, YVETTE (FNP-C)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1880 E TANGERINE RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-6238
Mailing Address - Country:US
Mailing Address - Phone:520-900-7006
Mailing Address - Fax:
Practice Address - Street 1:1880 E TANGERINE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-6238
Practice Address - Country:US
Practice Address - Phone:520-900-7006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP5519363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily