Provider Demographics
NPI:1275404857
Name:RODRIGUEZ MENDIETA, MARIBEL (BSN, RN)
Entity type:Individual
Prefix:
First Name:MARIBEL
Middle Name:
Last Name:RODRIGUEZ MENDIETA
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12660 ORCHARD AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1949
Mailing Address - Country:US
Mailing Address - Phone:402-850-9314
Mailing Address - Fax:
Practice Address - Street 1:12660 ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1949
Practice Address - Country:US
Practice Address - Phone:402-850-9314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE101300163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty