| Doctor Name: | NEREIDA RODRIGUEZ |
| NPI Number: | 1023184223 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 4820420-3102 |
| Business Practice Address: | 151 S University Ave # 1900 Provo, UT - 846014427 |
| Business Phone Number: | 8018517090 |
| Business Fax Number: | 8013438724 |
| Mailing Address: | 1302 Cambridge Ct, PROVO |
| State: | UT |
| Postal Code: | 846044177 |
| Phone Number: | 8013771305 |
| Fax Number: | |
| NPI Enumeration Date: | 11/28/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 4820420-3102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |