Provider Demographics
NPI:1104511286
Name:ROTAS NURSING SERVICES
Entity type:Organization
Organization Name:ROTAS NURSING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAMBUI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-585-3023
Mailing Address - Street 1:5786 WESTPHALIA LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-4114
Mailing Address - Country:US
Mailing Address - Phone:314-585-3023
Mailing Address - Fax:
Practice Address - Street 1:5786 WESTPHALIA LN
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-4114
Practice Address - Country:US
Practice Address - Phone:314-585-3023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty