Individual
CRESTINA RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1048 W BALTIMORE PIKE, MEDIA, PA 19063-6300
(484) 227-3217
Mailing address
1048 W BALTIMORE PIKE, MEDIA, PA 19063-6300
(484) 227-3217
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012033
PA
Other
Enumeration date
05/31/2012
Last updated
09/18/2020
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