Provider Demographics
NPI:1831852185
Name:DANCY, ROSALYN NICOLE (CNA)
Entity type:Individual
Prefix:MISS
First Name:ROSALYN
Middle Name:NICOLE
Last Name:DANCY
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15610 RIO DEL SOL DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-4030
Mailing Address - Country:US
Mailing Address - Phone:832-507-3606
Mailing Address - Fax:
Practice Address - Street 1:15610 RIO DEL SOL DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-4030
Practice Address - Country:US
Practice Address - Phone:832-507-3606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0008157169376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX40677020OtherHOME HEALTH CARE