Provider Demographics
NPI:1184918070
Name:ROZMAN, PAULA M (LPN)
Entity type:Individual
Prefix:MS
First Name:PAULA
Middle Name:M
Last Name:ROZMAN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1842
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-1842
Mailing Address - Country:US
Mailing Address - Phone:808-339-2305
Mailing Address - Fax:
Practice Address - Street 1:87-2872 MAMALAHOA HWY
Practice Address - Street 2:
Practice Address - City:CAPTAIN COOK
Practice Address - State:HI
Practice Address - Zip Code:96704-8758
Practice Address - Country:US
Practice Address - Phone:808-339-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-08
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI31885-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse