Rodriguez, Graciela

Rodriguez, Graciela is an individual health care provider with primary practice located at 322 Glenwood Avenue , Bloomfield NJ 07003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rodriguez, Graciela can be contacted via phone (973) 929-7600.

Contact Information

Primary practice address
322 Glenwood Avenue Bloomfield NJ 07003
Phone: (973) 929-7600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ01065100 New Jersey

Profile Details

NPI number 1578179917
LBN Legal business name Rodriguez, Graciela
Credentials MSN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2020
Last updated Oct 16th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578179917 NPPES
New Jersey MEDICAID 26NJ01065100

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