Provider Demographics
NPI:1538694609
Name:XAVIER, ROSEMARY ANDREOLI (RN)
Entity Type:Individual
Prefix:MISS
First Name:ROSEMARY
Middle Name:ANDREOLI
Last Name:XAVIER
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 1:46 MIDVALE AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11738-1974
Mailing Address - Country:US
Mailing Address - Phone:631-853-7373
Mailing Address - Fax:
Practice Address - Street 1:46 MIDVALE AVE
Practice Address - Street 2:
Practice Address - City:FARMINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:11738-1974
Practice Address - Country:US
Practice Address - Phone:631-853-7373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY668119-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse