Provider Demographics
NPI:1245102813
Name:RODRIGUEZ, CYARA FAY (CNA)
Entity type:Individual
Prefix:MRS
First Name:CYARA
Middle Name:FAY
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 16TH AVE SE LOT 225
Mailing Address - Street 2:
Mailing Address - City:MINOT
Mailing Address - State:ND
Mailing Address - Zip Code:58701-1713
Mailing Address - Country:US
Mailing Address - Phone:701-818-4944
Mailing Address - Fax:
Practice Address - Street 1:5116 16TH AVE SE LOT 225
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58701-1713
Practice Address - Country:US
Practice Address - Phone:701-818-4944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND89866172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker