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NPI Code Detail

MEDICARE: ENMA LAIDA CORDERO-RODRIGUEZ PMHNP

MEDICARE: ENMA LAIDA CORDERO-RODRIGUEZ PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPRN11044730FL

General Provider Information

NPI Number : 1053278499
Entity Type Code : Individual
Provider Name (Legal Business Name) : ENMA LAIDA CORDERO-RODRIGUEZ PMHNP
Provider Business Mailing Address
First Line : 10131 HAMMERLY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77080-5014
Country : US
Telephone Number : 281-779-8009
Fax Number :
Provider Business Practice Location Address
First Line : 10131 HAMMERLY BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77080-5014
Country : US
Telephone Number : 281-779-8009
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ ENMA LAIDA CORDERO-RODRIGUEZ PMHNP” Practice Location

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