Provider Demographics
NPI:1952575516
Name:POYOUROW, ROSEANN CHRISTINE (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:ROSEANN
Middle Name:CHRISTINE
Last Name:POYOUROW
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:ROSEANN
Other - Middle Name:CHRISTINE
Other - Last Name:CZEKALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:1017 HARDING DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042-3378
Mailing Address - Country:US
Mailing Address - Phone:706-577-1561
Mailing Address - Fax:
Practice Address - Street 1:1017 HARDING DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042-3378
Practice Address - Country:US
Practice Address - Phone:706-577-1561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-15
Last Update Date:2008-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000158642163WE0003X
GARN179426163WE0003X
IN28158254A163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency