Provider Demographics
NPI:1346381027
Name:ROSE, VOLGA SARKISIAN (LVN)
Entity Type:Individual
Prefix:MRS
First Name:VOLGA
Middle Name:SARKISIAN
Last Name:ROSE
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5020 SHADY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-9421
Mailing Address - Country:US
Mailing Address - Phone:916-833-1729
Mailing Address - Fax:916-423-2115
Practice Address - Street 1:3336 BRADSHAW RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95827-2615
Practice Address - Country:US
Practice Address - Phone:916-362-8292
Practice Address - Fax:916-362-8295
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA161162164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse