Individual provider · Type 1 NPI
Derrick Lemuel Rodriguez, NP-C
Adult Health Nurse Practitioner · Hackensack, NJ
NPI number
1912591108
Active
Practice location
30 Prospect Ave
Hackensack, NJ 07601-1915
Other practice locations
- 22-18 Broadway Ste 101, Fair Lawn, NJ 07410-3016 · (201) 797-4503
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ01121100 (NJ) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | 26NJ01121100 (NJ) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1912591108
Derrick Lemuel Rodriguez, NP-C's National Provider Identifier is 1912591108, issued on Feb 27, 2021. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hackensack, NJ. The record was last updated on Feb 15, 2023.