Provider Demographics
NPI:1083985717
Name:ROSAINZ, ELIZABETH N (ARNP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:N
Last Name:ROSAINZ
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:N
Other - Last Name:VAN HORN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:900 SE SALERNO ROAD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997
Mailing Address - Country:US
Mailing Address - Phone:772-223-7803
Mailing Address - Fax:772-463-0091
Practice Address - Street 1:900 SE SALERNO ROAD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997
Practice Address - Country:US
Practice Address - Phone:772-223-7803
Practice Address - Fax:772-463-0091
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2013-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9331173363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLGG444ZMedicare PIN