Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mildrey Rodriguez

Individual provider Behavior Analyst · NPI 1629580113

Mildrey Rodriguez is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2023, 3 years ago. Practices with Eterna Medical Group LLC, a 2-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
3
Licensed in
NV
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

2810 W Charleston Blvd Ste H77
Las Vegas, NV 89102-1921
Phone: (702) 377-6556
Fax: (702) 665-8651
Show map & directions

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 2801 S Valley View Blvd Ste 2, Las Vegas, NV 89102-0116 — (786) 970-9384
  • 308 Bedford Rd, Las Vegas, NV 89107-4302 — (702) 403-7999
  • 5020 Alta Dr Ste B, Las Vegas, NV 89107-3940 — (702) 403-7999
  • 9624 World Cup Dr, Las Vegas, NV 89117-0817 — (786) 970-9384
  • 2110 E Flamingo Rd, Las Vegas, NV 89119-5190 — (702) 620-5105

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 845655 (NV)
Behavior Analyst Taxonomy 103K00000X
Registered Nurse Taxonomy 163W00000X · Licence 845655 (NV)
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1629580113
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 24, 2017
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Eterna Medical Group Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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