Provider Demographics
NPI:1740722164
Name:ANDAYA, ROSEFEL BIGLETE
Entity type:Individual
Prefix:MRS
First Name:ROSEFEL
Middle Name:BIGLETE
Last Name:ANDAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 W GROVE PKWY APT 1053
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-4440
Mailing Address - Country:US
Mailing Address - Phone:773-391-2645
Mailing Address - Fax:
Practice Address - Street 1:1250 W GROVE PKWY APT 1053
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-4440
Practice Address - Country:US
Practice Address - Phone:773-391-2645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-16
Last Update Date:2016-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTRN201660163W00000X
IL041327998163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse