Provider Demographics
NPI:1851175343
Name:CAUSEY, ROSAMOND (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ROSAMOND
Middle Name:
Last Name:CAUSEY
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3403 BROOKSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33618-2148
Mailing Address - Country:US
Mailing Address - Phone:803-537-1113
Mailing Address - Fax:
Practice Address - Street 1:3403 BROOKSHIRE CT
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33618-2148
Practice Address - Country:US
Practice Address - Phone:803-537-1113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11028291363LF0000X
FL9234820163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine