Provider Demographics
NPI:1437826450
Name:ROSETE, ANNABELLE ELAYDO
Entity Type:Individual
Prefix:
First Name:ANNABELLE
Middle Name:ELAYDO
Last Name:ROSETE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1011 NALII ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-3337
Mailing Address - Country:US
Mailing Address - Phone:808-799-3323
Mailing Address - Fax:
Practice Address - Street 1:94-1011 NALII ST
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-3337
Practice Address - Country:US
Practice Address - Phone:808-799-3323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI61014002OtherPSWA