Provider Demographics
NPI:1699235168
Name:ST PAUL, ROSANE
Entity type:Individual
Prefix:MRS
First Name:ROSANE
Middle Name:
Last Name:ST PAUL
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 1:800 MAINE AVE SW STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2811
Mailing Address - Country:US
Mailing Address - Phone:202-660-1460
Mailing Address - Fax:202-660-1460
Practice Address - Street 1:800 MAINE AVE SW STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2811
Practice Address - Country:US
Practice Address - Phone:202-660-1460
Practice Address - Fax:202-660-1460
Is Sole Proprietor?:No
Enumeration Date:2019-03-21
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator