person
Jose Angel Rodriguez JR., NURSEPRACTITIONER
Family Nurse Practitioner in Mishawaka, Indiana
NPI 1598284820

Jose Angel Rodriguez JR. is a Family Nurse Practitioner based in Mishawaka, IN and is specialized in Family. Jose Angel Rodriguez JR. practices in Mishawaka, IN and has the professional credentials of NURSEPRACTITIONER. The NPI Number for Jose Angel Rodriguez JR. is 1598284820 and holds a License No. 71007457A (Indiana).

The current practice location address for Jose Angel Rodriguez JR. is 60257 Bodnar Blvd, Mishawaka, IN and can be reached out via phone at 574-212-2801. You can also correspond with Jose Angel Rodriguez JR. through the mailing address at 60257 BODNAR BLVD, MISHAWAKA, IN - 46544-9342 (mailing address contact number: ).

Location: 60257 Bodnar Blvd, Mishawaka, IN, 46544-9342
person
Provider Profile Details
NPI Number
1598284820
Provider Name
Jose Angel Rodriguez JR.
Credential
NURSEPRACTITIONER
Provider Entity Type
Individual
Gender
Male
Address
60257 Bodnar Blvd, Mishawaka, IN, 46544-9342
Phone Number
574-212-2801
Fax Number
Provider Enumeration Date
09/19/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
28192740A 01 IN STATE OF INDIANA
71007457A 01 IN STATE OF INDIANA
institution
Provider Business Practice Location Address Details
Address
60257 Bodnar Blvd
City
State
Zip
46544-9342
Phone Number
574-212-2801
Fax Number
person
Provider Business Mailing Address Details
Address
60257 Bodnar Blvd
City
State
Zip
46544-9342
Phone Number
574-212-2801
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
71007457A (Indiana)
Definition
Definition to come...
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