Provider Demographics
NPI:1376102699
Name:VERDADEIRO, ROSAMARIA GOMES (APN)
Entity Type:Individual
Prefix:MRS
First Name:ROSAMARIA
Middle Name:GOMES
Last Name:VERDADEIRO
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 1:74 EDGAR RD
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-9621
Mailing Address - Country:US
Mailing Address - Phone:201-407-9793
Mailing Address - Fax:
Practice Address - Street 1:74 EDGAR RD
Practice Address - Street 2:
Practice Address - City:MATAWAN
Practice Address - State:NJ
Practice Address - Zip Code:07747-9621
Practice Address - Country:US
Practice Address - Phone:201-407-9793
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00853500363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily