MEDICARE: NOREEN BARBARA RODRIGUEZ APN,C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	26NN05049200	NJ
2	363LP2300X	Primary Care Nurse Practitioner	26NN05049200	NJ
3	363LX0106X	Occupational Health Nurse Practitioner	26NN05049200	NJ

General Provider Information

NPI Number	:	1093850281
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOREEN BARBARA RODRIGUEZ APN,C

Provider Business Mailing Address
First Line	:	9 REID AVE
Second Line	:
City	:	BELLE MEAD
State	:	NJ
Zip	:	08502-4331
Country	:	US
Telephone Number	:	609-818-6083
Fax Number	:	609-818-6000

Provider Business Practice Location Address
First Line	:	311 PENNINGTON ROCKY HILL RD
Second Line	:	BRISTOL MYERS SQUIBB
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-2130
Country	:	US
Telephone Number	:	609-818-6083
Fax Number	:	609-818-6000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	08/27/2008

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