Doctor Name: | JOSEPHINE R ROUNDY |
NPI Number: | 1154593903 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N, |
License Number: | RN092607 |
Business Practice Address: | 50 East Garden Ave. Colorado City, AZ - 860210715 |
Business Phone Number: | 4354675012 |
Business Fax Number: | |
Mailing Address: | 50 East Garden Ave, P O Box 715 COLORADO CITY |
State: | AZ |
Postal Code: | 860210715 |
Phone Number: | 4354675012 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | RN092607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |