Provider Demographics
NPI:1811701121
Name:RODRIGUEZ, DAWN (RN, BSN)
Entity type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5961 W 900 N
Mailing Address - Street 2:
Mailing Address - City:FOUNTAINTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46130-9795
Mailing Address - Country:US
Mailing Address - Phone:317-491-5948
Mailing Address - Fax:
Practice Address - Street 1:705 RILEY HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5109
Practice Address - Country:US
Practice Address - Phone:317-944-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28231995A163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics