GLORIA A RODRIGUEZ AGNP NPI 1114565835

NPI Information

NPI: 1114565835
Provider Name: GLORIA A RODRIGUEZ, AGNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: FAIRVIEW HEIGHTS MEDICAL GROUP SC

PECOS Registration: Yes

Address:
11155 DUNN RD STE 109N
SAINT LOUIS, MO
ZIP 63136
Phone: (314) 953-8799
Get Directions

Gloria A Rodriguez, AGNP is a gerontology nurse practitioner in Saint Louis, MO with 5 years of experience. Gloria A Rodriguez, AGNP NPI is 1114565835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11155 DUNN RD STE 109N
SAINT LOUIS, MO
ZIP 63136-148
Phone: (314) 953-8799
Fax: (314) 953-8798

The NPI 1114565835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 12/12/2019 and was last updated on 3/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	2019020198	MISSOURI	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »