Individual provider · Type 1 NPI

Ivelisse Rodriguez

Licensed Practical Nurse · Willow Street, PA

NPI number 1376001081 Active

Practice location

212 Willow Valley Lakes Dr
Willow Street, PA 17584-9668

Call (717) 224-5819 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN286931 (PA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1376001081

Ivelisse Rodriguez's National Provider Identifier is 1376001081, issued on Mar 12, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Willow Street, PA. The record was last updated on Mar 12, 2019.