IndividualActive
Donnette Rodriguez, REGISTERED NURSE
NPI 1104503242 · Pediatric Registered Nurse · Brooklyn, NY
Provider details
- NPI number
- 1104503242
- Entity type
- Individual
- Primary specialty
- Pediatric Registered NurseNursing Service Providers
- Credential
- REGISTERED NURSE
- Sex
- Female
- Sole proprietor
- Yes
- License
- 514588 (NY)
Specialties & taxonomies
Nursing Service Providers
Practice location
928 Dumont Ave
Brooklyn, NY 11207-4920
Phone: (917) 803-6208
Approximate (ZIP-level) locationGet directions
Mailing address
928 Dumont Ave
Brooklyn, NY 11207-4920
Registry dates
- Enumerated
- 2023-06-30
- Last updated
- 2023-07-05
- Certified
- 2023-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.