Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ivelisse Rodriguez

Individual provider Licensed Practical Nurse · NPI 1376001081

Ivelisse Rodriguez is a Licensed Practical Nurse in Willow Street, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019

Practice location Address checks out

212 Willow Valley Lakes Dr
Willow Street, PA 17584-9668
Phone: (717) 224-5819
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence PN286931 (PA)

Record details

NPI number1376001081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2019
Last updated in NPPESMarch 12, 2019
Mailing address212 Willow Valley Lakes Dr, Willow Street, PA 17584-9668

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