Provider Demographics
NPI:1891824959
Name:JANNUZZI, ROSALIA GESIM (FNP)
Entity Type:Individual
Prefix:
First Name:ROSALIA
Middle Name:GESIM
Last Name:JANNUZZI
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:
Other - Last Name:JANNUZZI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DNP
Mailing Address - Street 1:1840 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2808
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1840 AMHERST ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2808
Practice Address - Country:US
Practice Address - Phone:540-536-8000
Practice Address - Fax:540-536-8740
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024166664363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner