Provider Demographics
NPI:1114512167
Name:ROUSER, AFINA NONITA
Entity Type:Individual
Prefix:
First Name:AFINA
Middle Name:NONITA
Last Name:ROUSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2596 WARRENSVILLE CENTER RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3833
Mailing Address - Country:US
Mailing Address - Phone:216-313-7667
Mailing Address - Fax:
Practice Address - Street 1:2596 WARRENSVILLE CENTER RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44118-3833
Practice Address - Country:US
Practice Address - Phone:216-313-7667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant