Provider Demographics
NPI:1285993659
Name:ROSADO, RUTH ESTHER (RN)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ESTHER
Last Name:ROSADO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 COSTA DR
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-3627
Mailing Address - Country:US
Mailing Address - Phone:707-265-7985
Mailing Address - Fax:
Practice Address - Street 1:650 COSTA DR
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-3627
Practice Address - Country:US
Practice Address - Phone:707-265-7985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-04
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA561400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse