Provider Demographics
NPI:1407458458
Name:ROSSER, FLORENCE EMALEE (MS, RDN,LDN)
Entity Type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:EMALEE
Last Name:ROSSER
Suffix:
Gender:F
Credentials:MS, RDN,LDN
Other - Prefix:MS
Other - First Name:FLOSSIE
Other - Middle Name:
Other - Last Name:ROSSER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS,RDN,LDN
Mailing Address - Street 1:1012 SHAFFNER DR
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-2581
Mailing Address - Country:US
Mailing Address - Phone:443-386-4908
Mailing Address - Fax:
Practice Address - Street 1:1012 SHAFFNER DR
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-2581
Practice Address - Country:US
Practice Address - Phone:443-386-4908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD01422133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered