Provider Demographics
NPI:1942551866
Name:RODGERS-MUSIAL, YVETTE C (NP)
Entity Type:Individual
Prefix:
First Name:YVETTE
Middle Name:C
Last Name:RODGERS-MUSIAL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:YVETTE
Other - Middle Name:C
Other - Last Name:MUSIAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:718 TEANECK RD
Mailing Address - Street 2:HEALTH PARTNER SERVICES
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4245
Mailing Address - Country:US
Mailing Address - Phone:201-833-3000
Mailing Address - Fax:201-227-6207
Practice Address - Street 1:718 TEANECK RD
Practice Address - Street 2:NEUROLOGY
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4245
Practice Address - Country:US
Practice Address - Phone:201-833-7208
Practice Address - Fax:201-379-5611
Is Sole Proprietor?:No
Enumeration Date:2012-10-02
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00427000363LA2100X
WI131052363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care