Individual
ROSEANN BENANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
420 GRAND AVE STE 101, ENGLEWOOD, NJ 07631-4141
(201) 569-7044
(201) 569-1999
Mailing address
81 PARKWAY, ROCHELLE PARK, NJ 07662-4205
(201) 805-8636
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
26NJ01241000
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ01241000
NJ
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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