Provider Demographics
NPI:1821769654
Name:GUGLIELMO, ROCHELLE (RN)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:GUGLIELMO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:CREAM RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08514-2435
Mailing Address - Country:US
Mailing Address - Phone:609-668-8146
Mailing Address - Fax:
Practice Address - Street 1:101 EGGERTS CROSSING RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-2805
Practice Address - Country:US
Practice Address - Phone:609-530-6967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-22
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO11487800163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology