RODOLFO REALYVASQUEZ
NPI 1336506831
Licensed Practical Nurse in Fort Huachuca, AZ
- Individual
- Male
- Licensed Practical Nurse
About RODOLFO REALYVASQUEZ
This page provides the complete NPI Profile along with additional information for Rodolfo Realyvasquez, a provider established in Fort Huachuca, Arizona with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1336506831 assigned on January 2016. The practitioner's primary taxonomy code is 164W00000X with license number LP034456 (AZ). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1336506831 Verify this NPI
- Provider Name
- RODOLFO REALYVASQUEZ
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2240 WINROW RD FORT HUACHUCA, AZ 85613
- Location Phone
- (520) 533-9033
- Mailing Address
- 21 E BERRIDGE DR SIERRA VISTA, AZ 85635
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-28-2016
- Last Update Date
- 01-28-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- LP034456
- License State
- AZ
- Taxonomy Description
- 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.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FORT HUACHUCA, AZ 85613
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336506831, enumerated as an "individual" on January 28, 2016.
The provider is located at 2240 WINROW RD FORT HUACHUCA, AZ 85613 and the phone number is (520) 533-9033.
Licensed Practical Nurse with taxonomy code 164W00000X.
