Provider Demographics
NPI:1013607134
Name:ROSARIO, MARIA DEL PILAR (LPN)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:DEL PILAR
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WADSWORTH ST
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106-7108
Mailing Address - Country:US
Mailing Address - Phone:860-524-1124
Mailing Address - Fax:860-724-2539
Practice Address - Street 1:45 WADSWORTH ST STE 2
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106-7108
Practice Address - Country:US
Practice Address - Phone:860-524-1124
Practice Address - Fax:860-692-1014
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-11
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT42743164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse