Healthcare Provider Details

I. General information

NPI: 1962564559
Provider Name (Legal Business Name): ROSEMARIE HILL R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 WESTBANK EXPY
MARRERO LA
70072-2922
US

IV. Provider business mailing address

4124 BORDEAUX DR
KENNER LA
70065-1781
US

V. Phone/Fax

Practice location:
  • Phone: 504-349-8755
  • Fax: 504-349-8768
Mailing address:
  • Phone: 504-467-5381
  • Fax: 504-349-8768

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number79089
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: