Individual provider · Type 1 NPI
Keila Ivonne Rodriguez, AGNP-C
Gerontology Nurse Practitioner · Dover, NJ
NPI number
1093595514
Active
Practice location
25 Central Ave
Dover, NJ 07801-3488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 26NJ14929900 (NJ) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1093595514
Keila Ivonne Rodriguez, AGNP-C's National Provider Identifier is 1093595514, issued on Oct 2, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dover, NJ. The record was last updated on Oct 2, 2023.