Doctor Name: | MRS. RESHAUNE AMANDA ROSSER |
NPI Number: | 1003913294 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,BSN |
License Number: | 166339 |
Business Practice Address: | 991 W Hudson Blvd Gastonia, NC - 280526430 |
Business Phone Number: | 7048625316 |
Business Fax Number: | 7048535188 |
Mailing Address: | 991 W Hudson Blvd, GASTONIA |
State: | NC |
Postal Code: | 280526430 |
Phone Number: | 7048625316 |
Fax Number: | 7048535188 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0101X |
License Number: | 166339 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Women's Health Care, Ambulatory |
Taxonomy Definition: |