Provider Demographics
NPI:1346501210
Name:ROSEMAN, MARIETTA (HCA)
Entity Type:Individual
Prefix:
First Name:MARIETTA
Middle Name:
Last Name:ROSEMAN
Suffix:
Gender:F
Credentials:HCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10606 MORNING GLORY LN
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-4015
Mailing Address - Country:US
Mailing Address - Phone:513-376-6005
Mailing Address - Fax:
Practice Address - Street 1:10606 MORNING GLORY LN
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-4015
Practice Address - Country:US
Practice Address - Phone:513-376-6005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2019-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty