MEDICARE: NADYIBI RODRIGUEZ MENENDEZ MSN, APRN, FNP-C

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
1	363LP2300X	Primary Care Nurse Practitioner	APRN11007098	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154938199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADYIBI RODRIGUEZ MENENDEZ MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	3217 KING WILLIAM CIR
Second Line	:
City	:	SEFFNER
State	:	FL
Zip	:	33584-6143
Country	:	US
Telephone Number	:	656-650-5514
Fax Number	:	762-212-4382

Provider Business Practice Location Address
First Line	:	3502 HENDERSON BLVD STE 101
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33609-3900
Country	:	US
Telephone Number	:	813-851-4531
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2020
Last Update Date	:	12/09/2025

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