Provider Demographics
NPI:1952449217
Name:RODRIGUEZ-LAPAGE, GEORGINA K (NP)
Entity Type:Individual
Prefix:
First Name:GEORGINA
Middle Name:K
Last Name:RODRIGUEZ-LAPAGE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 655
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-0655
Mailing Address - Country:US
Mailing Address - Phone:603-580-6009
Mailing Address - Fax:603-580-6840
Practice Address - Street 1:21 HAMPTON RD
Practice Address - Street 2:BLDG 3
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4831
Practice Address - Country:US
Practice Address - Phone:603-778-1436
Practice Address - Fax:603-778-2491
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH02640321363L00000X
NH026403-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHP49524Medicare UPIN