Provider Demographics
NPI:1952128829
Name:POSEY, ROSETTA R
Entity type:Individual
Prefix:
First Name:ROSETTA
Middle Name:R
Last Name:POSEY
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 1:46950 JENNINGS FARM DR STE 290
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20164-8679
Mailing Address - Country:US
Mailing Address - Phone:571-323-9046
Mailing Address - Fax:571-323-9047
Practice Address - Street 1:46950 JENNINGS FARM DR STE 290
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:VA
Practice Address - Zip Code:20164-8679
Practice Address - Country:US
Practice Address - Phone:571-323-9046
Practice Address - Fax:571-323-9046
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAHCO0000676364SH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome Health