Provider Demographics
NPI:1699425694
Name:CIRRI, REBECCA RODRIGUEZ (STUDENT NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RODRIGUEZ
Last Name:CIRRI
Suffix:
Gender:F
Credentials:STUDENT NP
Other - Prefix:
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Mailing Address - Street 1:7231 PARKWAY DR STE 100
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2331
Mailing Address - Country:US
Mailing Address - Phone:410-598-9430
Mailing Address - Fax:410-424-4728
Practice Address - Street 1:7231 PARKWAY DR STE 100
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-2331
Practice Address - Country:US
Practice Address - Phone:410-598-9430
Practice Address - Fax:410-424-4728
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-24
Last Update Date:2024-10-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR114468163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse