Provider Demographics
NPI:1558941989
Name:PARI NANA, ROSA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:ROSA
Middle Name:MARIA
Last Name:PARI NANA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ELMWOOD AVE AC-5 BOX 696
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-275-5681
Mailing Address - Fax:585-273-1041
Practice Address - Street 1:601 ELMWOOD AVE # AC-5
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14642-0001
Practice Address - Country:US
Practice Address - Phone:585-275-5681
Practice Address - Fax:585-273-1041
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-09
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program