Organization
MARCY ROSHELLI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCELLA ROSHELLI APRN-BC (OWNER)
(609) 312-9269
Entity
Organization
Contact information
Practice address
1301 ROUTE 72 W, SUITE 250, MANAHAWKIN, NJ 08050-2483
(609) 312-9269
(609) 207-4102
Mailing address
18 N 7TH ST, SURF CITY, NJ 08008-5201
(609) 312-9269
(609) 207-4102
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NN05675900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8092605
—
NJ
Enumeration date
09/13/2007
Last updated
09/13/2007
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