Christopher Rodriguez, APN
Nurse Practitioner in Wayne, NJ. Individual provider (NPI-1).
NPI number1902631963
StatusActive
Last updated in NPPESSep 7, 2024
Details
- NPI
- 1902631963
- Entity type
- Individual (NPI-1)
- Name
- Christopher Rodriguez
- Credential
- APN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 7, 2024
- Certification date
- Aug 20, 2024
- Last updated
- Sep 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 26NJ15140200 | NJ | Yes |
Practice location
220 Hamburg Tpke Ste 2Wayne, NJ 07470-2151
Phone 973-389-9975
Mailing address
3 Washington PlTotowa, NJ 07512-2536
Phone 347-262-7392
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