Provider Demographics
NPI:1821781634
Name:RODRIGUEZ, STEFANY (RN BSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:STEFANY
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RN BSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 NW 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33993-2419
Mailing Address - Country:US
Mailing Address - Phone:239-440-3784
Mailing Address - Fax:
Practice Address - Street 1:207 NW 4TH AVE
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33993-2419
Practice Address - Country:US
Practice Address - Phone:239-440-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-29
Last Update Date:2023-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11026024363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily