- Practice location
- 19 Ravenna Dr, Pomona, NY 10970-3607
- Phone
- 845-426-3120
- Fax
- —
- Last updated
- May 25, 2010
Rose Vixamar is a Licensed Practical Nurse based in Pomona, NY. Rose Vixamar practices in Pomona, NY. The NPI Number for Rose Vixamar is 1528387974 and holds a License No. 02200527878 (NY). The current practice location address for Rose Vixamar is 19 Ravenna Dr, Pomona, NY 10970-3607 and can be reached out via phone at 845-426-3120.
Provider Profile Details
- NPI Number
- 1528387974
- Provider Name
- Rose Vixamar
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 19 Ravenna Dr, Pomona, NY 10970-3607
- Phone Number
- 845-426-3120
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 25, 2010
- Last Update Date
- May 25, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 19 Ravenna Dr
Pomona, NY 10970-3607 - City
- Pomona
- State
- New York
- Zip
- 10970-3607
- Phone Number
- 845-426-3120
Provider Business Mailing Address Details
- Address
- 19 Ravenna Dr
Pomona, NY 10970-3607 - City
- Pomona
- State
- NY
- Zip
- 10970-3607
- Phone Number
- 845-426-3120
License Information
- License Number
- 02200527878
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Rose Vixamar?
The NPI number of Rose Vixamar is 1528387974. It was assigned on May 25, 2010 and is currently active in the NPPES registry.
What is the specialty of Rose Vixamar?
Rose Vixamar is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 02200527878.
Where does Rose Vixamar practice?
The practice location is 19 Ravenna Dr, Pomona, NY 10970-3607. The office can be reached at 845-426-3120 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528387974 directly on the NPPES registry website.