Provider Demographics
NPI:1518208032
Name:PADEN, ROSALIND ROCHELLE (CRNA)
Entity Type:Individual
Prefix:MISS
First Name:ROSALIND
Middle Name:ROCHELLE
Last Name:PADEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3799 SOLANA RD
Mailing Address - Street 2:
Mailing Address - City:COCONUT GROVE
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6144
Mailing Address - Country:US
Mailing Address - Phone:734-644-1816
Mailing Address - Fax:
Practice Address - Street 1:3799 SOLANA RD
Practice Address - Street 2:
Practice Address - City:COCONUT GROVE
Practice Address - State:FL
Practice Address - Zip Code:33133-6144
Practice Address - Country:US
Practice Address - Phone:734-644-1816
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL92505367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered