Provider Demographics
NPI:1043965973
Name:WOOLSEY, ROSEMOND (CSFA)
Entity Type:Individual
Prefix:
First Name:ROSEMOND
Middle Name:
Last Name:WOOLSEY
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4999 DREAM DANCER DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-0851
Mailing Address - Country:US
Mailing Address - Phone:505-639-3010
Mailing Address - Fax:
Practice Address - Street 1:4999 DREAM DANCER DR NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-0851
Practice Address - Country:US
Practice Address - Phone:505-639-3010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-18
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Multi-Specialty