Rodriguez, Debra K

Rodriguez, Debra K is an individual health care provider with primary practice located at 707 14Th St , Baraboo WI 53913-1539. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rodriguez, Debra K can be contacted via phone (608) 356-1400.

Contact Information

Primary practice address
707 14Th St Baraboo WI 53913-1539
Phone: (608) 356-1400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 18033 Wisconsin

Profile Details

NPI number 1679559249
LBN Legal business name Rodriguez, Debra K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Jan 26th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1679559249 NPPES
Wisconsin Other 70 DEANCARE PROV #
Wisconsin MEDICAID 43829200 DEANCARE PROV #
Wisconsin Other 500010902 DEANCARE PROV #
Wisconsin Other 1009390 DEANCARE PROV #
Wisconsin Other 391023846 DEANCARE PROV #

Popular Providers