Individual provider · Type 1 NPI
Leilani Ann Rodriguez, NURSE PRACTITIONER
Primary Care Nurse Practitioner · Fresno, CA
NPI number
1114275336
Active
Practice location
2615 E Clinton Ave
Fresno, CA 93703-2223
Mailing address
4747 N Barton Ave
Fresno, CA 93726-1119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 495309 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95005434 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1114275336
Leilani Ann Rodriguez, NURSE PRACTITIONER's National Provider Identifier is 1114275336, issued on Aug 20, 2012. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Fresno, CA. The record was last updated on Apr 20, 2017.