Provider Demographics
NPI:1831595362
Name:RODRIGUEZ, ROSA ANA (FNP)
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:ANA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 JAIME ZAPATA MEMORIAL HWY STE A5
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-5010
Mailing Address - Country:US
Mailing Address - Phone:956-568-7803
Mailing Address - Fax:956-568-7804
Practice Address - Street 1:3210 JAIME ZAPATA MEMORIAL HWY STE A5
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78043-5010
Practice Address - Country:US
Practice Address - Phone:956-568-7803
Practice Address - Fax:956-568-7804
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-11
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP124831363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily