Provider Demographics
NPI:1588101711
Name:COLLINS, ROSIE A
Entity type:Individual
Prefix:MS
First Name:ROSIE
Middle Name:A
Last Name:COLLINS
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 1:1189 E GLEN ECHO LN
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-8125
Mailing Address - Country:US
Mailing Address - Phone:513-349-1860
Mailing Address - Fax:
Practice Address - Street 1:1189 E GLEN ECHO LN
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-8125
Practice Address - Country:US
Practice Address - Phone:513-349-1860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-25
Last Update Date:2017-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide