Provider Demographics
NPI:1417733700
Name:TSCHETTER, ROSA (MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:
Last Name:TSCHETTER
Suffix:
Gender:F
Credentials:MSN, FNP-C
Other - Prefix:
Other - First Name:ROSA
Other - Middle Name:
Other - Last Name:TSCHETTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSN, APRN, FNP-C
Mailing Address - Street 1:PO BOX 35380
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-5380
Mailing Address - Country:US
Mailing Address - Phone:702-579-3203
Mailing Address - Fax:
Practice Address - Street 1:1107 E BELL RD STE 4
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-2692
Practice Address - Country:US
Practice Address - Phone:602-567-4800
Practice Address - Fax:602-567-9939
Is Sole Proprietor?:No
Enumeration Date:2023-09-04
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ300820363LF0000X
AZRN166894163WC3500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC3500XNursing Service ProvidersRegistered NurseCardiac Rehabilitation
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily