Provider Demographics
NPI:1124408216
Name:CONOS, ROSE MARIE ALESSANDR C (MSHS, BSN, RN, CCM)
Entity Type:Individual
Prefix:
First Name:ROSE MARIE ALESSANDR
Middle Name:C
Last Name:CONOS
Suffix:
Gender:F
Credentials:MSHS, BSN, RN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44028 ENGLE WAY 37
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536
Mailing Address - Country:US
Mailing Address - Phone:818-471-3993
Mailing Address - Fax:
Practice Address - Street 1:8608 N. CEDAR AVENUE #104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720
Practice Address - Country:US
Practice Address - Phone:818-471-3993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-03
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA839820163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse