Individual provider · Type 1 NPI
Kimberly Rodriguez
Nurse Practitioner · Phoenix, AZ
Practice location
1209 S 1st Ave
Phoenix, AZ 85003-2692
Mailing address
305 W Mesquite St
Chandler, AZ 85225-2663
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 241963 (AZ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1134059611
Kimberly Rodriguez's National Provider Identifier is 1134059611, issued on May 19, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 21, 2026.