Healthcare Provider Details

I. General information

NPI: 1528213295
Provider Name (Legal Business Name): MA DAWNA BINAS RODRIGUEZ R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/22/2008
Last Update Date: 11/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2231 BYRD DR
OXNARD CA
93033-1826
US

IV. Provider business mailing address

2231 BYRD DR
OXNARD CA
93033-1826
US

V. Phone/Fax

Practice location:
  • Phone: 805-385-3669
  • Fax:
Mailing address:
  • Phone: 805-385-3669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number500317
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberR.N. 500317
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: