Provider Demographics
NPI:1851169676
Name:PAGURA, ROSSANA (APRN)
Entity Type:Individual
Prefix:MS
First Name:ROSSANA
Middle Name:
Last Name:PAGURA
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:ROSSANA
Other - Middle Name:CHEVITARESE
Other - Last Name:PARADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:817 N 2175 W
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-2201
Mailing Address - Country:US
Mailing Address - Phone:801-898-0625
Mailing Address - Fax:
Practice Address - Street 1:817 N 2175 W
Practice Address - Street 2:
Practice Address - City:LAYTON
Practice Address - State:UT
Practice Address - Zip Code:84041-2201
Practice Address - Country:US
Practice Address - Phone:801-898-0625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-12
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209028909163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health