National Provider Identifier

Mariah P Rodriguez, LPN

Mariah P Rodriguez, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (315) 759-6183.

NPI 1104449040Geneva, NYLicensed Practical Nurse

Profile Overview

NPI
1104449040
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 27, 2020
Last Updated
May 27, 2020

Practice Location

  • 304 Genesis Way
  • Geneva, NY 14456-2076

Phone: (315) 759-6183

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1104449040
Entity Type
Individual
Last Name
Rodriguez
First Name
Mariah
Middle Name
P
Credential
LPN
Mailing Street Address
304 Genesis Way
Mailing City
Geneva
Mailing State
NY
Mailing ZIP Code
14456-2076
Mailing Country
US
Mailing Phone
(315) 759-6183
Practice Street Address
304 Genesis Way
Practice City
Geneva
Practice State
NY
Practice ZIP Code
14456-2076
Practice Country
US
Practice Phone
(315) 759-6183
Enumeration Date
May 27, 2020
Last Updated
May 27, 2020
Sex
Female
Sole Proprietor
No
Certification Date
May 27, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)