Provider Demographics
NPI:1396145520
Name:SARMIENTO, ROSALYN (RN)
Entity type:Individual
Prefix:MS
First Name:ROSALYN
Middle Name:
Last Name:SARMIENTO
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 1:11021 APRICOT ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94603-3829
Mailing Address - Country:US
Mailing Address - Phone:510-280-4976
Mailing Address - Fax:
Practice Address - Street 1:11021 APRICOT ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94603-3829
Practice Address - Country:US
Practice Address - Phone:510-280-4976
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA792319163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse