Individual provider · Type 1 NPI
Leslie Erica Rodriguez, NP-C
Pediatric Nurse Practitioner · Grand Forks, ND
NPI number
1356972665
Active
Practice location
1380 S Columbia Rd
Grand Forks, ND 58201-4059
Mailing address
2401 Demers Ave
Grand Forks, ND 58201-4183
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R40504 (ND) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | R40504 (ND) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1356972665
Leslie Erica Rodriguez, NP-C's National Provider Identifier is 1356972665, issued on Jan 27, 2020. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Grand Forks, ND. The record was last updated on Jan 27, 2020.