Ivelisse Rodriguez
Licensed Practical Nurse in Willow Street, PA. Individual provider (NPI-1).
NPI number1376001081
StatusActive
Last updated in NPPESMar 12, 2019
Details
- NPI
- 1376001081
- Entity type
- Individual (NPI-1)
- Name
- Ivelisse Rodriguez
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2019
- Last updated
- Mar 12, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN286931 | PA | Yes |
Practice location
212 Willow Valley Lakes DrWillow Street, PA 17584-9668
Phone 717-224-5819
Mailing address
212 Willow Valley Lakes DrWillow Street, PA 17584-9668
Phone 717-224-5819
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All 9 Licensed Practical Nurse providers in Willow Street · All 192 providers in Willow Street
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