Provider Demographics
NPI:1821473216
Name:ROSSI, CAROL JANE (NP, AGPCNP-BC)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:JANE
Last Name:ROSSI
Suffix:
Gender:F
Credentials:NP, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 MANLEY ST
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379
Mailing Address - Country:US
Mailing Address - Phone:781-341-4145
Mailing Address - Fax:617-674-0585
Practice Address - Street 1:321 MANLEY ST
Practice Address - Street 2:
Practice Address - City:WEST BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02379
Practice Address - Country:US
Practice Address - Phone:781-341-4145
Practice Address - Fax:617-674-0585
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2021-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN/NP 153982363LG0600X, 363LA2200X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health