Provider Demographics
NPI:1366055709
Name:RODRIGUEZ, EVELYN G (DOULA)
Entity type:Individual
Prefix:
First Name:EVELYN
Middle Name:G
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:DOULA
Other - Prefix:MRS
Other - First Name:EVELYN
Other - Middle Name:G
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DOULA
Mailing Address - Street 1:1776 BICENTENNIAL WAY APT C04
Mailing Address - Street 2:
Mailing Address - City:NORTH PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02911-1346
Mailing Address - Country:US
Mailing Address - Phone:401-500-7799
Mailing Address - Fax:
Practice Address - Street 1:1776 BICENTENNIAL WAY APT C04
Practice Address - Street 2:
Practice Address - City:NORTH PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02911-1346
Practice Address - Country:US
Practice Address - Phone:401-500-7799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-25
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula