Provider Demographics
NPI:1407145964
Name:ROSIER, DEBRA ANNE (RN)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANNE
Last Name:ROSIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 SUNCREST TOWN CENTRE DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-1872
Mailing Address - Country:US
Mailing Address - Phone:304-598-2200
Mailing Address - Fax:304-599-2674
Practice Address - Street 1:600 SUNCREST TOWN CENTRE DR
Practice Address - Street 2:SUITE 310
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-1872
Practice Address - Country:US
Practice Address - Phone:304-598-2200
Practice Address - Fax:304-599-2674
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV68099163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse