Provider Demographics
NPI:1750590337
Name:CHIURAZZI, ROSE ANN (RD, LD, CDE)
Entity type:Individual
Prefix:
First Name:ROSE ANN
Middle Name:
Last Name:CHIURAZZI
Suffix:
Gender:F
Credentials:RD, LD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 KATHRON AVE
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-1825
Mailing Address - Country:US
Mailing Address - Phone:330-923-4023
Mailing Address - Fax:
Practice Address - Street 1:137 KATHRON AVE
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-1825
Practice Address - Country:US
Practice Address - Phone:330-923-4023
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4371133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered