Provider Demographics
NPI:1518236496
Name:HESS, ROSEMARY C (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:C
Last Name:HESS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:MS
Other - First Name:ROSEMARY
Other - Middle Name:C
Other - Last Name:MOFFITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:350 YOUNG AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3146
Mailing Address - Country:US
Mailing Address - Phone:609-807-2693
Mailing Address - Fax:609-702-8456
Practice Address - Street 1:350 YOUNG AVE STE 200
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3146
Practice Address - Country:US
Practice Address - Phone:609-807-2693
Practice Address - Fax:609-702-8456
Is Sole Proprietor?:No
Enumeration Date:2011-12-21
Last Update Date:2021-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP011864363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102894773Medicaid
PA102894773Medicaid