Provider Demographics
NPI:1134757289
Name:RODRIGUEZ, DAWN NICOLE (FNP-C)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:NICOLE
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 1:8042 WURZBACH RD STE 130
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3823
Mailing Address - Country:US
Mailing Address - Phone:210-201-2806
Mailing Address - Fax:888-878-2254
Practice Address - Street 1:8042 WURZBACH RD STE 130
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3823
Practice Address - Country:US
Practice Address - Phone:210-201-2806
Practice Address - Fax:888-878-2254
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144367363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner