| Doctor Name: | ROSALYN SUPRENANT |
| NPI Number: | 1841615598 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | RN301963 |
| Business Practice Address: | 430 E Pease Ave West Carrollton School District West Carrollton, OH - 45449 |
| Business Phone Number: | 9376847425 |
| Business Fax Number: | 9378592768 |
| Mailing Address: | 430 E Pease Ave, WEST CARROLLTON |
| State: | OH |
| Postal Code: | 454491357 |
| Phone Number: | 9376847425 |
| Fax Number: | 9378592768 |
| NPI Enumeration Date: | 03/04/2014 |
| NPI Last Update Date: | 03/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN301963 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |