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NPI Code Detail

MEDICARE: NICHOLE MARGARET RODRIGUEZ APRN, AGNP-C

MEDICARE:   NICHOLE MARGARET RODRIGUEZ  APRN, AGNP-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
1261Q00000XClinic/Center1218549TX
2363LG0600XGerontology Nurse Practitioner1218549TX

General Provider Information

NPI Number : 1679437222
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICHOLE MARGARET RODRIGUEZ APRN, AGNP-C
Provider Business Mailing Address
First Line : 2225 WILLIAMS TRACE BLVD STE 108
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4440
Country : US
Telephone Number : 832-789-4569
Fax Number :
Provider Business Practice Location Address
First Line : 2225 WILLIAMS TRACE BLVD STE 108
Second Line :
City : SUGAR LAND
State : TX
Zip : 77478-4440
Country : US
Telephone Number : 832-789-4569
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “ NICHOLE MARGARET RODRIGUEZ APRN, AGNP-C” Practice Location

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