Provider Demographics
NPI:1902497431
Name:ED, RITA ROSADO (NP)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:ROSADO
Last Name:ED
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:15660 ALUM ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-2701
Mailing Address - Country:US
Mailing Address - Phone:408-439-1965
Mailing Address - Fax:
Practice Address - Street 1:46723 FREMONT BLVD
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-6539
Practice Address - Country:US
Practice Address - Phone:888-973-1499
Practice Address - Fax:888-959-7271
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95006483363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner