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

Mrs. Kimberly Rodriguez

Individual provider Nurse Practitioner · NPI 1134059611

Mrs. Kimberly Rodriguez is a Nurse Practitioner in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2026.

Licensed in
AZ
In the registry since
2026

Practice location Address checks out

1209 S 1st Ave
Phoenix, AZ 85003-2692
Phone: (602) 258-6797
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 241963 (AZ)

Record details

NPI number1134059611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 19, 2026
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026
Mailing address305 W Mesquite St, Chandler, AZ 85225-2663

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