Provider Demographics
NPI:1477091577
Name:PERRONI, ROZALIA MARTA (NP)
Entity Type:Individual
Prefix:
First Name:ROZALIA
Middle Name:MARTA
Last Name:PERRONI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ROZALIA
Other - Middle Name:MARTA
Other - Last Name:KOCJAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:500 MERRIMACK ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1981
Mailing Address - Country:US
Mailing Address - Phone:978-557-8700
Mailing Address - Fax:
Practice Address - Street 1:500 MERRIMACK ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1981
Practice Address - Country:US
Practice Address - Phone:978-557-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2302942163W00000X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse