Provider Demographics
NPI:1518217926
Name:SPAULDING, ROSEMARIE (RN)
Entity Type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:SPAULDING
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 1:2769 UNIVERSITY AVE
Mailing Address - Street 2:2A
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10468-2620
Mailing Address - Country:US
Mailing Address - Phone:347-202-5003
Mailing Address - Fax:
Practice Address - Street 1:2769 UNIVERSITY AVE
Practice Address - Street 2:2A
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10468-2620
Practice Address - Country:US
Practice Address - Phone:347-202-5003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9311136163W00000X
NY565384163W00000X, 163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency
No163W00000XNursing Service ProvidersRegistered Nurse