Provider Demographics
NPI:1093807240
Name:EROLIN, ROSANNA DUYAG (REGISTERED NURSE)
Entity Type:Individual
Prefix:MISS
First Name:ROSANNA
Middle Name:DUYAG
Last Name:EROLIN
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 11TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-3891
Mailing Address - Country:US
Mailing Address - Phone:425-214-6066
Mailing Address - Fax:253-256-7550
Practice Address - Street 1:515 11TH AVE SE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-3891
Practice Address - Country:US
Practice Address - Phone:425-214-6066
Practice Address - Fax:253-256-7550
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00140907163WN0300X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0300XNursing Service ProvidersRegistered NurseNephrology
No163W00000XNursing Service ProvidersRegistered Nurse