Provider Demographics
NPI:1144868472
Name:ROSSER, NITA LASHAWN
Entity type:Individual
Prefix:
First Name:NITA
Middle Name:LASHAWN
Last Name:ROSSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1453 CEDAR ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20020-5005
Mailing Address - Country:US
Mailing Address - Phone:202-725-1380
Mailing Address - Fax:
Practice Address - Street 1:1453 CEDAR ST SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5005
Practice Address - Country:US
Practice Address - Phone:202-725-1380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-17
Last Update Date:2019-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion