Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | RN138094 | GA |
NPI | 1083049050 |
---|---|
Provider Name | Mrs. Rosemary Elaine Taormina |
First Address | Marietta, GA 30060-6975 |
Second Address | Marietta, GA 30060-1158 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2013 |
Last Update Date | 08/06/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083049050 | NPI NUMBER (01) | GA |