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RODOLFO REALYVASQUEZ
NPI 1336506831
Licensed Practical Nurse in Fort Huachuca, AZ

Active since January 28, 2016
2240 WINROW RD, FORT HUACHUCA, AZ 85613(520) 533-9033 Get Directions Write a Review

NPPES record last updated: January 28, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Rodolfo Realyvasquez NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODOLFO REALYVASQUEZ (NPI 1336506831) is an individual licensed practical nurse in Fort Huachuca, Arizona, licensed in Arizona (LP034456) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1336506831
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameRODOLFO REALYVASQUEZ
Location Address2240 WINROW RDFort Huachuca, AZ 85613-5080
Mailing Address21 E Berridge DrSierra Vista, AZ 85635-3117
Phone(520) 533-9033
Sole ProprietorYes
Enumeration DateJanuary 28, 2016
✔ NPI 1336506831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in AZ · LP034456
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2240 WINROW RD, Fort Huachuca, AZ 85613
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KAI PEDERSEN DMD
Dentist
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-9200
BRIDGET MACKIE FNP
Nurse Practitioner (Family)
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-9200
DR. AUSTIN FELTMAN DNP
Nurse Practitioner (Psychiatric/Mental Health)
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-9200
DR. JEROME JOSEPH ROCHE JR. M.D.
Internal Medicine
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-9033
MICHELLE ARRIETA LPN
Licensed Practical Nurse
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-4963
CULLEN FRIDLEY ATC, LAT, CIDN
Specialist/Technologist (Athletic Trainer)
2240 WINROW RD
SIERRA VISTA, AZ 85613
Cochise County (850) 384-8511
MS. KARA JEAN BARR PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-0752
DR. DEBORAH A. CROWE DNP, FNP-BC, PMHNP-B
Nurse Practitioner (Psychiatric/Mental Health)
2240 WINROW RD
FORT HUACHUCA, AZ 85613
Cochise County (520) 533-5161

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodolfo Realyvasquez's NPI number?

The NPI number for Rodolfo Realyvasquez is 1336506831. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Where is Rodolfo Realyvasquez located?

Rodolfo Realyvasquez practices at 2240 Winrow Rd, Fort Huachuca, AZ 85613. The listed phone number is (520) 533-9033.

What is Rodolfo Realyvasquez's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Rodolfo Realyvasquez was last updated on January 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.