Provider Demographics
NPI:1043451974
Name:DILEO, ROSA ANNA (LPN)
Entity Type:Individual
Prefix:MS
First Name:ROSA
Middle Name:ANNA
Last Name:DILEO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 STILLWATER DR
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:NC
Mailing Address - Zip Code:28037-8818
Mailing Address - Country:US
Mailing Address - Phone:704-200-6895
Mailing Address - Fax:704-532-4675
Practice Address - Street 1:7906 LAWYERS RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28227-4955
Practice Address - Country:US
Practice Address - Phone:704-532-4348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC043430164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse