Individual
LARISA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM, WHNP
Contact information
Practice address
115 CHRISTOPHER COLUMBUS DR, JERSEY CITY, NJ 07302-5526
(201) 451-6300
(201) 451-8300
Mailing address
115 CHRISTOPHER COLUMBUS DR STE 100&101, JERSEY CITY, NJ 07302-5526
(201) 451-6300
(201) 451-8300
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ01468000
NJ
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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