Provider Demographics
NPI:1033898390
Name:PIERRE, ROSEMIQUE (APN)
Entity Type:Individual
Prefix:
First Name:ROSEMIQUE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1032 MANNINGTON DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08094-8817
Mailing Address - Country:US
Mailing Address - Phone:856-625-2772
Mailing Address - Fax:
Practice Address - Street 1:1032 MANNINGTON DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08094-8817
Practice Address - Country:US
Practice Address - Phone:856-625-2772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-13
Last Update Date:2023-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14871800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner