Provider Demographics
NPI:1619194156
Name:ROSALES, DIGNA MARIA (ANP)
Entity type:Individual
Prefix:MRS
First Name:DIGNA
Middle Name:MARIA
Last Name:ROSALES
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 HERITAGE CT
Mailing Address - Street 2:
Mailing Address - City:NEPTUNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07753-2873
Mailing Address - Country:US
Mailing Address - Phone:732-643-1335
Mailing Address - Fax:732-643-1473
Practice Address - Street 1:703 HERITAGE CT
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-2873
Practice Address - Country:US
Practice Address - Phone:732-643-1335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00145100363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health