Provider Demographics
NPI:1053800425
Name:MACHEN, ROSELYNE E (CRNP (NURSE PRACTION)
Entity type:Individual
Prefix:MRS
First Name:ROSELYNE
Middle Name:E
Last Name:MACHEN
Suffix:
Gender:
Credentials:CRNP (NURSE PRACTION
Other - Prefix:
Other - First Name:ROSELYNE
Other - Middle Name:E
Other - Last Name:AKINES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNP (NURSE PRACTION
Mailing Address - Street 1:365 THE BRIDGE ST STE 125
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-0027
Mailing Address - Country:US
Mailing Address - Phone:256-449-1750
Mailing Address - Fax:256-854-8472
Practice Address - Street 1:365 THE BRIDGE ST STE 125
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-0027
Practice Address - Country:US
Practice Address - Phone:256-449-1750
Practice Address - Fax:256-854-8472
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN24229363LF0000X
AL1-110679363LF0000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily