Healthcare Provider Details

I. General information

NPI: 1023474616
Provider Name (Legal Business Name): ROSLYN M CIPRIANO RN, WCC, FACCWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 01/12/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5749 NW 101ST WAY
CORAL SPRINGS FL
33076-2591
US

IV. Provider business mailing address

5749 NW 101ST WAY
CORAL SPRINGS FL
33076-2591
US

V. Phone/Fax

Practice location:
  • Phone: 954-980-1701
  • Fax: 954-800-7274
Mailing address:
  • Phone: 954-980-1701
  • Fax: 954-800-7274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX1500X
TaxonomyOstomy Care Registered Nurse
License NumberRN-1415592
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: