Individual
ROSE MAYARD AMAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4539 ROUTE 9 N, HOWELL, NJ 07731-3380
(732) 987-8800
Mailing address
4539 ROUTE 9 N, HOWELL, NJ 07731-3380
(732) 987-8200
(732) 987-5964
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN583583
PA
363LF0000X
Family Nurse Practitioner
F1216021
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27NJ00716300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023562568
—
PA
Enumeration date
08/13/2016
Last updated
02/16/2024
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