Individual
MRS. SELENA SACKROOLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
750 BRUNSWICK AVE, TRENTON, NJ 08638-4143
(609) 394-6000
Mailing address
3131 PRINCETON PIKE STE 208, LAWRENCEVILLE, NJ 08648-2201
(609) 815-7829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR14272900
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00967500
NJ
Other
Enumeration date
09/11/2019
Last updated
05/14/2021
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