Provider Demographics
NPI:1336924430
Name:RODRIGUES, ELIZABETE (APRN)
Entity type:Individual
Prefix:MRS
First Name:ELIZABETE
Middle Name:
Last Name:RODRIGUES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1044 HOOK DR
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34608-8478
Mailing Address - Country:US
Mailing Address - Phone:774-219-2297
Mailing Address - Fax:
Practice Address - Street 1:8391 OMAHA CIR
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-5157
Practice Address - Country:US
Practice Address - Phone:352-688-8818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028328363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily