SearchIdaho363LW0102X

Lydia Rodriguez, WHNP

NPI 1790149961 · on the registry since 2016

Practice

Address
90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648
Phone
(208) 828-7111
Fax
(208) 828-7902
Organisation at this address
Mt Home Refill Phcy
366th Medical Group Sgsl
366th Medgrp-Mountain Home
366th Medgrp-Mountain Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
90

Registry record

Primary taxonomy
363LW0102X
363LW0102X
Also registered as
163WX0003X
Licence states on file
IN, UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-05-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho