Individual
DEBRA ROCCUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
446 BELLEVUE AVE, TRENTON, NJ 08618
(609) 394-4000
(609) 815-7099
Mailing address
PO BOX 8500 1611, PHILADELPHIA, PA 19178-1611
(609) 815-7810
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NN07322400
NJ
363LP0200X
Pediatric Nurse Practitioner
Primary
26N007322400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0155462
—
NJ
Enumeration date
07/15/2006
Last updated
04/27/2021
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