Provider Demographics
NPI:1831856954
Name:RODRIGUEZ-ESLER, SUSANA (NP)
Entity type:Individual
Prefix:
First Name:SUSANA
Middle Name:
Last Name:RODRIGUEZ-ESLER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SUSANA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7011 W 121ST ST STE 106
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2009
Mailing Address - Country:US
Mailing Address - Phone:913-884-1055
Mailing Address - Fax:913-884-1066
Practice Address - Street 1:7011 W 121ST ST STE 106
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-2009
Practice Address - Country:US
Practice Address - Phone:913-884-1055
Practice Address - Fax:913-884-1066
Is Sole Proprietor?:No
Enumeration Date:2021-11-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-80608-031363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner