Individual
GRACIELA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
322 GLENWOOD AVENUE, BLOOMFIELD, NJ 07003
(973) 929-7600
Mailing address
220 SCHUYLER AVE, KEARNY, NJ 07032-3915
(201) 997-4600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01065100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
26NJ01065100
—
NJ
Enumeration date
09/21/2020
Last updated
10/16/2023
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