Provider Demographics
NPI:1538471966
Name:HASSAN, ROSNAH (BA)
Entity Type:Individual
Prefix:MS
First Name:ROSNAH
Middle Name:
Last Name:HASSAN
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:459 GO CART RD
Mailing Address - Street 2:
Mailing Address - City:FOUR OAKS
Mailing Address - State:NC
Mailing Address - Zip Code:27524-8513
Mailing Address - Country:US
Mailing Address - Phone:919-963-3038
Mailing Address - Fax:
Practice Address - Street 1:459 GO CART RD
Practice Address - Street 2:
Practice Address - City:FOUR OAKS
Practice Address - State:NC
Practice Address - Zip Code:27524-8513
Practice Address - Country:US
Practice Address - Phone:919-963-3038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health