Healthcare Provider Details

I. General information

NPI: 1831016484
Provider Name (Legal Business Name): PAOLA MICHELLE RODRIGUEZ-MELENDEZ MSN, CRNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1320 BROADCASTING RD STE 200
WYOMISSING PA
19610-3222
US

IV. Provider business mailing address

1320 BROADCASTING RD STE 200
WYOMISSING PA
19610-3222
US

V. Phone/Fax

Practice location:
  • Phone: 610-372-8995
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberSP036261
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: