Provider Demographics
NPI:1093850281
Name:RODRIGUEZ, NOREEN BARBARA (APN,C)
Entity Type:Individual
Prefix:
First Name:NOREEN
Middle Name:BARBARA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:APN,C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 REID AVE
Mailing Address - Street 2:
Mailing Address - City:BELLE MEAD
Mailing Address - State:NJ
Mailing Address - Zip Code:08502-4331
Mailing Address - Country:US
Mailing Address - Phone:609-818-6083
Mailing Address - Fax:609-818-6000
Practice Address - Street 1:311 PENNINGTON ROCKY HILL RD
Practice Address - Street 2:BRISTOL MYERS SQUIBB
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-2130
Practice Address - Country:US
Practice Address - Phone:609-818-6083
Practice Address - Fax:609-818-6000
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN05049200363LA2200X, 363LP2300X, 363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health