Provider Demographics
NPI:1568784437
Name:JAMES, ROSITA ANN
Entity Type:Individual
Prefix:MS
First Name:ROSITA
Middle Name:ANN
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ROSITA
Other - Middle Name:ANN
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5636 GLACIER HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-9508
Mailing Address - Country:US
Mailing Address - Phone:907-586-6838
Mailing Address - Fax:907-586-8114
Practice Address - Street 1:5636 GLACIER HWY STE 100
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-9508
Practice Address - Country:US
Practice Address - Phone:907-586-6838
Practice Address - Fax:907-586-8114
Is Sole Proprietor?:No
Enumeration Date:2010-02-19
Last Update Date:2010-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK34773747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant