Provider Demographics
NPI:1407310865
Name:HILL, ROSLYN MARIE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:
First Name:ROSLYN
Middle Name:MARIE
Last Name:HILL
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 ORLANDO DR
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4488
Mailing Address - Country:US
Mailing Address - Phone:267-975-6078
Mailing Address - Fax:
Practice Address - Street 1:110 ORLANDO DR
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-4488
Practice Address - Country:US
Practice Address - Phone:267-975-6078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019947363LF0000X
NJ26NJ00887900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily