Provider Demographics
NPI:1467891770
Name:HARRISON, ROSANNE (RN)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNE
Middle Name:
Last Name:HARRISON
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 1:2626 SW 114TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98146-3448
Mailing Address - Country:US
Mailing Address - Phone:206-431-0299
Mailing Address - Fax:206-708-7415
Practice Address - Street 1:2626 SW 114TH ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98146-3448
Practice Address - Country:US
Practice Address - Phone:206-431-0299
Practice Address - Fax:206-708-7415
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00040520163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse