Provider Demographics
NPI:1922563725
Name:ROZZELL, MARGARETMARY MULVEY
Entity Type:Individual
Prefix:
First Name:MARGARETMARY
Middle Name:MULVEY
Last Name:ROZZELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7112 OSUNA RD NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-2945
Mailing Address - Country:US
Mailing Address - Phone:505-307-2967
Mailing Address - Fax:
Practice Address - Street 1:7112 OSUNA RD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-2945
Practice Address - Country:US
Practice Address - Phone:505-307-2967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist