Provider Demographics
NPI:1245406800
Name:BUDD, ROSANA MARTINEZ (RN, NP, GNP, NPNP)
Entity Type:Individual
Prefix:MRS
First Name:ROSANA
Middle Name:MARTINEZ
Last Name:BUDD
Suffix:
Gender:F
Credentials:RN, NP, GNP, NPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 AUTO CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PALMDALE
Mailing Address - State:CA
Mailing Address - Zip Code:93551-4599
Mailing Address - Country:US
Mailing Address - Phone:661-267-6876
Mailing Address - Fax:
Practice Address - Street 1:819 AUTO CENTER DR
Practice Address - Street 2:
Practice Address - City:PALMDALE
Practice Address - State:CA
Practice Address - Zip Code:93551-4599
Practice Address - Country:US
Practice Address - Phone:661-267-6876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15051363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology