Provider Demographics
NPI:1457101214
Name:ROSANO PSYCHIATRY AND WELLNESS, PLLC.
Entity Type:Organization
Organization Name:ROSANO PSYCHIATRY AND WELLNESS, PLLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSANO
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:617-676-2601
Mailing Address - Street 1:31 HAYWARD ST STE B5
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-2166
Mailing Address - Country:US
Mailing Address - Phone:617-676-2601
Mailing Address - Fax:
Practice Address - Street 1:31 HAYWARD ST STE B5
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-2166
Practice Address - Country:US
Practice Address - Phone:617-676-2601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty