Most Relevant Information
Provider Data
| NPI Number: | 1003476748 |
| Provider Name: | ARDDHY BULANADI RODRIGUEZ CRNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | R200049 |
Most Important Dates
| Enumeration Date: | 06/14/2019 |
| Last Updated: | 02/03/2021 |
Provider Practice Location
128 LUCCA LN
ABINGDON
MD
210091476
Practice Location Phone/Fax
| Phone: | 2403544087 |
| Fax: |
Provider Mailing Location
6710A ROCKLEDGE DR STE 400
BETHESDA
MD
208172847
Provider Mailing Phone/Fax
| Phone: | 2407632496 |
| Fax: | 2407632497 |