Healthcare Provider Details

I. General information

NPI: 1619772480
Provider Name (Legal Business Name): ARNEL ESPIRITU RODRIGUEZ RN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 BATTLEFIELD BLVD N
CHESAPEAKE VA
23320-4802
US

IV. Provider business mailing address

800 BATTLEFIELD BLVD N
CHESAPEAKE VA
23320-4802
US

V. Phone/Fax

Practice location:
  • Phone: 757-312-5249
  • Fax: 757-312-6245
Mailing address:
  • Phone: 757-312-5249
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number0001116320
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: