Rosalyn Taylor Laster, RN. ES
Individual provider Active NPI Community Health Nurse Practitioner · Humboldt, TN
NPI 1639214869 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1639214869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Nurse Practitioner 363LC1500X
- License
- APN0000011440 (TN)
- Practice address
- 149 N 12TH Ave
Humboldt, TN 38343-2879 - Phone
- (731) 784-5491
- Fax
- (731) 784-1726
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000011440 | TN | MD | Community Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | APN0000011440 | TN | Yes |
Addresses
Primary practice location
149 N 12TH Ave
Humboldt, TN 38343-2879
Mailing address
149 N 12TH Ave
Humboldt, TN 38343-2879
Phone (731) 784-5491
Other providers in Humboldt, TN
- John Kelly
- Keith Kirby
- Marcia Ann Krokowski
- L B McClaren
- Jeffrey D Lansdale
- Gina Eason Lee
- LTC Therapy Solutions LLC
- Dulce F Madrid
- Joseph Cecil Mallette
- Carlye J Martin
All providers in Humboldt, TN · Community Health Nurse Practitioner in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.