Provider Demographics
NPI:1053848655
Name:CHETTA, ROSARY ANN (BSN,RN)
Entity Type:Individual
Prefix:MS
First Name:ROSARY
Middle Name:ANN
Last Name:CHETTA
Suffix:
Gender:F
Credentials:BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 SENA DR
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70005-3341
Mailing Address - Country:US
Mailing Address - Phone:504-508-7648
Mailing Address - Fax:504-464-8644
Practice Address - Street 1:200 W ESPLANADE AVE STE 703A
Practice Address - Street 2:
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2489
Practice Address - Country:US
Practice Address - Phone:504-464-8646
Practice Address - Fax:504-464-8644
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-15
Last Update Date:2017-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA033018163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator