Provider Demographics
NPI:1023530656
Name:KIZER, ROSALYN N (LPN, BS)
Entity type:Individual
Prefix:MRS
First Name:ROSALYN
Middle Name:N
Last Name:KIZER
Suffix:
Gender:F
Credentials:LPN, BS
Other - Prefix:
Other - First Name:ROSALYN
Other - Middle Name:N
Other - Last Name:FINKLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7 GLENWOOD AVE STE 419B
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-1065
Mailing Address - Country:US
Mailing Address - Phone:862-252-7870
Mailing Address - Fax:862-444-7171
Practice Address - Street 1:7 GLENWOOD AVE STE 419B
Practice Address - Street 2:
Practice Address - City:EAST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07017-1065
Practice Address - Country:US
Practice Address - Phone:862-252-7870
Practice Address - Fax:862-444-7171
Is Sole Proprietor?:No
Enumeration Date:2017-07-14
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NP05236900164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse