Provider Demographics
NPI:1114135290
Name:FLEMING, ROSALINE (RN, MS, APNC)
Entity Type:Individual
Prefix:MS
First Name:ROSALINE
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:RN, MS, APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 EATON CT
Mailing Address - Street 2:
Mailing Address - City:HOPEWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:08525-1619
Mailing Address - Country:US
Mailing Address - Phone:609-466-0405
Mailing Address - Fax:
Practice Address - Street 1:2 EATON CT
Practice Address - Street 2:
Practice Address - City:HOPEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08525-1619
Practice Address - Country:US
Practice Address - Phone:609-466-0405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR02231600363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health