Provider Demographics
NPI:1689482127
Name:ROSIER, ANITRA M (RN)
Entity type:Individual
Prefix:
First Name:ANITRA
Middle Name:M
Last Name:ROSIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:86 KINGS GATE N
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-5409
Mailing Address - Country:US
Mailing Address - Phone:585-553-8207
Mailing Address - Fax:
Practice Address - Street 1:86 KINGS GATE N
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-5409
Practice Address - Country:US
Practice Address - Phone:585-553-8207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY869436163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse