Healthcare Provider Details

I. General information

NPI: 1093850281
Provider Name (Legal Business Name): NOREEN BARBARA RODRIGUEZ APN,C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 08/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 PENNINGTON ROCKY HILL RD BRISTOL MYERS SQUIBB
PENNINGTON NJ
08534-2130
US

IV. Provider business mailing address

9 REID AVE
BELLE MEAD NJ
08502-4331
US

V. Phone/Fax

Practice location:
  • Phone: 609-818-6083
  • Fax: 609-818-6000
Mailing address:
  • Phone: 609-818-6083
  • Fax: 609-818-6000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number26NN05049200
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number26NN05049200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code363LX0106X
TaxonomyOccupational Health Nurse Practitioner
License Number26NN05049200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: