Provider Demographics
NPI:1568887925
Name:CARROZZELLA, JANICE ANN (MSN, RN, AGACNP-BC)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:ANN
Last Name:CARROZZELLA
Suffix:
Gender:F
Credentials:MSN, RN, AGACNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:431 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45203-1418
Mailing Address - Country:US
Mailing Address - Phone:513-352-0847
Mailing Address - Fax:
Practice Address - Street 1:10475 MONTGOMERY RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5201
Practice Address - Country:US
Practice Address - Phone:513-865-1690
Practice Address - Fax:513-852-8525
Is Sole Proprietor?:No
Enumeration Date:2014-02-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.15013-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care