Provider Demographics
NPI:1689411043
Name:TRAWICK, ROSEANN
Entity type:Individual
Prefix:
First Name:ROSEANN
Middle Name:
Last Name:TRAWICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6293 BRADFORD WOODS DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-0636
Mailing Address - Country:US
Mailing Address - Phone:480-415-3773
Mailing Address - Fax:
Practice Address - Street 1:6293 BRADFORD WOODS DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-0636
Practice Address - Country:US
Practice Address - Phone:480-458-8277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-12
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider