Provider Demographics
NPI:1881417871
Name:RODRIGUEZ, MARGARET MARSHALL (NP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARSHALL
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:MARSHALL
Other - Last Name:HAMMONDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1169 LYNDHURST DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-5942
Mailing Address - Country:US
Mailing Address - Phone:909-229-5741
Mailing Address - Fax:
Practice Address - Street 1:750 TERRADO PLZ STE 122
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723-3411
Practice Address - Country:US
Practice Address - Phone:626-331-7300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95032666363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily