Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | ARNP9310119 | FL |
N | 363LA2100X | Nurse Practitioner - Acute Care | 9310119 | FL |
Y | 363LA2100X | Nurse Practitioner - Acute Care | ARNP9310119 | FL |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | ARNP9310119 | FL |
NPI | 1427422724 |
---|---|
Provider Name | Rodney Rosello |
First Address | Naples, FL 34102-5886 |
Second Address | Naples, FL 34102-5886 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2015 |
Last Update Date | 01/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
016263400 | (05) | FL |
4QVJS | BCBS (01) | FL |
IK260Z | MEDICARE (01) | FL |