Provider Demographics
NPI:1306203633
Name:ROZZELLE, DENISE KIMBERLY (MSN, APN-C, CHPN)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:KIMBERLY
Last Name:ROZZELLE
Suffix:
Gender:F
Credentials:MSN, APN-C, CHPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:PINE HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08021-6506
Mailing Address - Country:US
Mailing Address - Phone:609-724-4092
Mailing Address - Fax:
Practice Address - Street 1:261 CONNECTICUT DR STE 1
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4177
Practice Address - Country:US
Practice Address - Phone:800-844-4774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-17
Last Update Date:2016-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00614900163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice