MRS. MILDRED RODRIGUEZ LOPEZ BSN RN IBCLC NPI 1962735605

NPI Information

NPI: 1962735605
Provider Name: MRS. MILDRED RODRIGUEZ LOPEZ, BSN, RN, IBCLC
Classification: Registered Nurse - 163WC1500X
Entity Type: Individual

Specialization: Community Health

Address:
11050 MOUNT BELVEDERE BLVD
USA MEDDAC/CREDENTIALS
FORT DRUM, NY
ZIP 13602
Phone: (315) 772-4025
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MRS. Mildred Rodriguez Lopez, BSN, RN, IBCLC is a community health registered nurse in Fort Drum, NY. MRS. Mildred Rodriguez Lopez, BSN, RN, IBCLC NPI is 1962735605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11050 MOUNT BELVEDERE BLVD
USA MEDDAC/CREDENTIALS
FORT DRUM, NY
ZIP 13602-438
Phone: (315) 772-4025
Fax: (315) 772-9498

The enumeration date for this NPI number is 9/14/2009 and was last updated on 9/14/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1500X	Registered Nurse	Community Health	478635-1	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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