Provider Demographics
NPI:1457737959
Name:ROSELLO, THONETTE PASCUA (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:THONETTE
Middle Name:PASCUA
Last Name:ROSELLO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5329 NW 184TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33055-5340
Mailing Address - Country:US
Mailing Address - Phone:786-838-9696
Mailing Address - Fax:
Practice Address - Street 1:5329 NW 184TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33055-5340
Practice Address - Country:US
Practice Address - Phone:786-838-9696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-06
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9273232364ST0500X
FLAPRN9273232363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364ST0500XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistTransplantation
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health