Provider Demographics
NPI:1790909208
Name:DIBARTOLOMEO, ROSEMARY ANN (WHC-NP)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:ANN
Last Name:DIBARTOLOMEO
Suffix:
Gender:F
Credentials:WHC-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4349 BENDER CT
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-4475
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:28711 8 MILE RD STE C
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2041
Practice Address - Country:US
Practice Address - Phone:248-474-4590
Practice Address - Fax:248-888-9127
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704120439363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health