Provider Demographics
NPI:1952662876
Name:TCHEUPI, ROSALIE
Entity Type:Individual
Prefix:MRS
First Name:ROSALIE
Middle Name:
Last Name:TCHEUPI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSALIE
Other - Middle Name:
Other - Last Name:TCHEUPI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:25 E WAYNE AVE
Mailing Address - Street 2:APT 512
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-4264
Mailing Address - Country:US
Mailing Address - Phone:301-326-1225
Mailing Address - Fax:
Practice Address - Street 1:25 E WAYNE AVE
Practice Address - Street 2:APT 512
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-4264
Practice Address - Country:US
Practice Address - Phone:301-326-1225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide