Basic Information
| Provider Information | |||||||||
| NPI: | 1861078941 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RODRIGUEZ | ||||||||
| FirstName: | FRANCES | ||||||||
| MiddleName: | |||||||||
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| Credential: | LPN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4505 LEXI LN UNIT H | ||||||||
| Address2: | |||||||||
| City: | ABERDEEN | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210011286 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4439049271 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1361 BRASS MILL RD STE A | ||||||||
| Address2: | |||||||||
| City: | BELCAMP | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210171213 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102739700 | ||||||||
| FaxNumber: | 4102739713 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2021 | ||||||||
| LastUpdateDate: | 03/20/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/20/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 164W00000X | LP51707 | MD | Y | Nursing Service Providers | Licensed Practical Nurse |
No ID Information.