Healthcare Provider Details

I. General information

NPI: 1124265855
Provider Name (Legal Business Name): ROSEMARIE MUSCI NNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2009
Last Update Date: 12/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 BOWMAN DR
VOORHEES NJ
08043-9612
US

IV. Provider business mailing address

100 BOWMAN DR
VOORHEES NJ
08043-9612
US

V. Phone/Fax

Practice location:
  • Phone: 856-404-8738
  • Fax:
Mailing address:
  • Phone: 856-404-8738
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License Number26NN06471800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: