Provider Demographics
NPI:1306318266
Name:DEL ROSARIO, JOSEPH DANNI ABRACOSA (NP-C)
Entity type:Individual
Prefix:MR
First Name:JOSEPH DANNI
Middle Name:ABRACOSA
Last Name:DEL ROSARIO
Suffix:
Gender:M
Credentials:NP-C
Other - Prefix:MR
Other - First Name:JOSEPH
Other - Middle Name:A
Other - Last Name:DELROSARIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7210 SLEEPY LAGOON DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93312-5684
Mailing Address - Country:US
Mailing Address - Phone:661-703-8134
Mailing Address - Fax:
Practice Address - Street 1:3550 Q ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1662
Practice Address - Country:US
Practice Address - Phone:661-418-2864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner