Provider Demographics
NPI:1942464300
Name:RODRIGUEZ, HELEN C (RN MSN CNS)
Entity Type:Individual
Prefix:MS
First Name:HELEN
Middle Name:C
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RN MSN CNS
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1611 BOREL PLACE
Mailing Address - Street 2:#203
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402
Mailing Address - Country:US
Mailing Address - Phone:650-342-2245
Mailing Address - Fax:
Practice Address - Street 1:1611 BOREL PLACE
Practice Address - Street 2:#203
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402
Practice Address - Country:US
Practice Address - Phone:650-342-2245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN257813163WP0807X, 364SP0807X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent