Healthcare Provider Details

I. General information

NPI: 1164018404
Provider Name (Legal Business Name): ROSEMARY SALDANA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2020
Last Update Date: 12/20/2020
Certification Date: 12/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12394 LOVIE LN
CONROE TX
77302-3564
US

IV. Provider business mailing address

12394 LOVIE LN
CONROE TX
77302-3564
US

V. Phone/Fax

Practice location:
  • Phone: 361-548-8223
  • Fax: 903-270-7520
Mailing address:
  • Phone: 361-548-8223
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number613116
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: