Provider Demographics
NPI:1669228896
Name:ARUSEI, ROSELYNE JELIMO
Entity type:Individual
Prefix:
First Name:ROSELYNE
Middle Name:JELIMO
Last Name:ARUSEI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 BELMONT ST BLDG 2
Mailing Address - Street 2:
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301-5596
Mailing Address - Country:US
Mailing Address - Phone:302-562-2690
Mailing Address - Fax:774-826-2431
Practice Address - Street 1:940 BELMONT ST BLDG 2
Practice Address - Street 2:
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-5596
Practice Address - Country:US
Practice Address - Phone:302-562-2690
Practice Address - Fax:774-826-2431
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN10009649363LP0808X
DEL8-0010670363LP0808X
DEL1-0050720163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health