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NPI Code Detail

MEDICARE: MRS. JODI RAE RODRIGUEZ FNP-CB

MEDICARE: MRS. JODI RAE RODRIGUEZ FNP-CB
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
1363LF0000XFamily Nurse PractitionerAPRN11017033FL

General Provider Information

NPI Number : 1962154898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JODI RAE RODRIGUEZ FNP-CB
Provider Business Mailing Address
First Line : 17194 E ADRIATIC PL APT F205
Second Line :
City : AURORA
State : CO
Zip : 80013-6825
Country : US
Telephone Number : 239-298-4699
Fax Number :
Provider Business Practice Location Address
First Line : 9985 W REMINGTON PL
Second Line :
City : LITTLETON
State : CO
Zip : 80128-9283
Country : US
Telephone Number : 720-818-8010
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/21/2022
Last Update Date : 01/21/2022

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