Provider Demographics
NPI:1316125669
Name:ADAMS, ROSANNE M (RN,BSN, CDE)
Entity type:Individual
Prefix:MRS
First Name:ROSANNE
Middle Name:M
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RN,BSN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22255 GREENFIELD RD
Mailing Address - Street 2:SUITE 349
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-3710
Mailing Address - Country:US
Mailing Address - Phone:248-849-3903
Mailing Address - Fax:248-849-2753
Practice Address - Street 1:22255 GREENFIELD RD
Practice Address - Street 2:SUITE 349
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-3710
Practice Address - Country:US
Practice Address - Phone:248-849-3903
Practice Address - Fax:248-849-2753
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704173515163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator