Provider Demographics
NPI:1164731451
Name:MACIEL, ROSEMARY LOUISE (QMHA)
Entity Type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:LOUISE
Last Name:MACIEL
Suffix:
Gender:F
Credentials:QMHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 19935
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-2573
Mailing Address - Country:US
Mailing Address - Phone:775-473-5548
Mailing Address - Fax:775-473-5548
Practice Address - Street 1:325 VIOLA WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511
Practice Address - Country:US
Practice Address - Phone:775-473-5548
Practice Address - Fax:775-473-5548
Is Sole Proprietor?:No
Enumeration Date:2010-10-04
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN15648163W00000X
225400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse