NPI 1194020834

Wanda Ivette Lopez-Rodriguez, NPC

Practitioner Family Nurse Practitioner Ledgewood, NJ

Practice location

Address: 1105 Route 46, Ledgewood, NJ 07852
Phone: (973) 927-4662
Fax: (973) 927-4668
Mailing address: 161 Mount Olive Rd, Flanders, NJ 07836-9725

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence 26NJ00325900 (NJ)

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Registry record

NPI: 1194020834
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2011
Record last updated: 11 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.