Individual
ALEXIS ROSE SELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, NP-C
Contact information
Practice address
MONTCLAIR STATE UNIVERSITY HEALTH CENTER, 1 NORMAL AVENUE, MONTCLAIR, NJ 07043-1624
(973) 655-4361
Mailing address
MONTCLAIR STATE UNIVERSITY HEALTH CENTER, 1 NORMAL AVENUE, MONTCLAIR, NJ 07043-1624
(973) 655-4361
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00628400
NJ
363LA2200X
Adult Health Nurse Practitioner
307715
NY
Other
Enumeration date
07/12/2016
Last updated
03/08/2018
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