Provider Demographics
NPI:1295161537
Name:ROSSO, ADRIENNE HARDY (RN)
Entity type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:HARDY
Last Name:ROSSO
Suffix:
Gender:F
Credentials:RN
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 949
Mailing Address - Street 2:
Mailing Address - City:SAINT FRANCISVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70775-0949
Mailing Address - Country:US
Mailing Address - Phone:225-266-7260
Mailing Address - Fax:
Practice Address - Street 1:5681 W AIRPORT RD
Practice Address - Street 2:
Practice Address - City:SAINT FRANCISVILLE
Practice Address - State:LA
Practice Address - Zip Code:70775-4440
Practice Address - Country:US
Practice Address - Phone:225-266-7260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2013-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN09920163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse