Provider Demographics
NPI:1154938199
Name:RODRIGUEZ MENENDEZ, NADYIBI (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:NADYIBI
Middle Name:
Last Name:RODRIGUEZ MENENDEZ
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3217 KING WILLIAM CIR
Mailing Address - Street 2:
Mailing Address - City:SEFFNER
Mailing Address - State:FL
Mailing Address - Zip Code:33584-6143
Mailing Address - Country:US
Mailing Address - Phone:656-650-5514
Mailing Address - Fax:762-212-4382
Practice Address - Street 1:6547 KENAVA LOOP
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-2595
Practice Address - Country:US
Practice Address - Phone:866-686-8862
Practice Address - Fax:941-265-6464
Is Sole Proprietor?:No
Enumeration Date:2020-09-24
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11007098363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care