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Ivelisse Rodriguez
Licensed Practical Nurse in Willow Street, Pennsylvania
NPI 1376001081

Ivelisse Rodriguez is a Licensed Practical Nurse based in Willow Street, PA. Ivelisse Rodriguez practices in Willow Street, PA. The NPI Number for Ivelisse Rodriguez is 1376001081 and holds a License No. PN286931 (Pennsylvania).

The current practice location address for Ivelisse Rodriguez is 212 Willow Valley Lakes Dr, Willow Street, PA and can be reached out via phone at 717-224-5819.

Location: 212 Willow Valley Lakes Dr, Willow Street, PA, 17584-9668
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376001081
Provider Name
Ivelisse Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
212 Willow Valley Lakes Dr, Willow Street, PA, 17584-9668
Phone Number
717-224-5819
Fax Number
Provider Enumeration Date
03/12/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PN286931 01 PA LPN
institution
Provider Business Practice Location Address Details
Address
212 Willow Valley Lakes Dr
City
Willow Street
State
Pennsylvania
Zip
17584-9668
Phone Number
717-224-5819
Fax Number
person
Provider Business Mailing Address Details
Address
212 Willow Valley Lakes Dr
City
Willow Street
State
Pennsylvania
Zip
17584-9668
Phone Number
717-224-5819
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN286931 (Pennsylvania)
Definition
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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