MEDICARE: ANGELA K RODRIGUEZ FNP-C, PLLC

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1467064451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELA K RODRIGUEZ FNP-C, PLLC

Provider Business Mailing Address
First Line	:	2851 HIGHWAY 35 N
Second Line	:
City	:	ROCKPORT
State	:	TX
Zip	:	78382-5712
Country	:	US
Telephone Number	:	361-450-8383
Fax Number	:

Provider Business Practice Location Address
First Line	:	2851 HIGHWAY 35 N
Second Line	:
City	:	ROCKPORT
State	:	TX
Zip	:	78382-5712
Country	:	US
Telephone Number	:	361-450-8383
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA RODRIGUEZ
Credential	:	FNP-C
Telephone Number	:	361-450-8383

Provider Enumeration Date	:	08/20/2020
Last Update Date	:	08/20/2020

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