National Provider Identifier Database

TINA M RODRIGUEZ, RN – NPI #1437700382
Hemodialysis


Contact Information

TINA M RODRIGUEZ, RN
250 N SEE VEE LN
BISHOP, CA93514-8130
Phone: 760-873-7611
Fax: 760-873-3361
Website:
Specialty Taxonomy Code
* Hemodialysis 163WH0500X

* Indicates primary specialty

NPI Profile & details for TINA M RODRIGUEZ

NPI Number 1437700382
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 09/23/2019
Last updated 09/23/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 545780
  • CA Medicaid: THP11576F
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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