Healthcare Provider Details
I. General information
NPI: 1518020312
Provider Name (Legal Business Name): ROCHELLE SATERI APN-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/19/2006
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
318 CHRIS GAUPP DR
GALLOWAY NJ
08205-4460
US
IV. Provider business mailing address
318 CHRIS GAUPP DR
GALLOWAY NJ
08205-4460
US
V. Phone/Fax
- Phone: 609-404-9900
- Fax: 609-404-3687
- Phone: 609-404-9900
- Fax: 609-404-3687
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LA2200X |
| Taxonomy | Adult Health Nurse Practitioner |
| License Number | 26NJ00119800 |
| License Number State | NJ |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: