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Individual

DEANNA LAROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, AGNP-C, RN-BC

Contact information

Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
Mailing address
86 LOPEZ RD, CEDAR GROVE, NJ 07009-1125

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR19357800
NJ
363L00000X
Nurse Practitioner
Primary
26NJ01364700
NJ

Other

Enumeration date
08/29/2022
Last updated
09/23/2022
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