Provider Demographics
NPI:1396564605
Name:LOMELI TAPIA, ROSA
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:
Last Name:LOMELI TAPIA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:195 GENTRY WAY APT 306
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4278
Mailing Address - Country:US
Mailing Address - Phone:775-828-6420
Mailing Address - Fax:
Practice Address - Street 1:195 GENTRY WAY APT 306
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4278
Practice Address - Country:US
Practice Address - Phone:510-690-4471
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant