LYDIA RODRIGUEZ WHNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Women's Health
Provider Information
- NPI Number
1790149961- Provider Type
- Individual Provider (NPI-1)
- Credentials
- WHNP
- Status
- Active
Contact & Location
- Address
- 90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID, 836481062
- Phone
- (208) 828-7111
- Fax
- (208) 828-7902
Specialties & Taxonomies
Registered Nurse, Obstetric, Inpatient
License: IN #28164518A
Nurse Practitioner, Women's Health
Primary License: UT #9873492-4405