Healthcare Provider Details

I. General information

NPI: 1386231967
Provider Name (Legal Business Name): HOPE RODRIGUEZ ZALDIVAR NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/29/2020
Last Update Date: 10/19/2021
Certification Date: 10/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7943 MOFFETT RD
SEMMES AL
36575-5409
US

IV. Provider business mailing address

7943 MOFFETT RD
SEMMES AL
36575-5409
US

V. Phone/Fax

Practice location:
  • Phone: 251-633-0123
  • Fax: 251-445-3722
Mailing address:
  • Phone: 251-633-0123
  • Fax: 251-445-3722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1148480
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: