Provider Demographics
NPI:1356762850
Name:ALDANA, ROSEBEL (MSN,RN,IBCLC)
Entity type:Individual
Prefix:MRS
First Name:ROSEBEL
Middle Name:
Last Name:ALDANA
Suffix:
Gender:F
Credentials:MSN,RN,IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BLANCHE CT
Mailing Address - Street 2:
Mailing Address - City:DUMONT
Mailing Address - State:NJ
Mailing Address - Zip Code:07628
Mailing Address - Country:US
Mailing Address - Phone:201-960-0785
Mailing Address - Fax:
Practice Address - Street 1:14 BLANCHE CT
Practice Address - Street 2:
Practice Address - City:DUMONT
Practice Address - State:NJ
Practice Address - Zip Code:07628-2603
Practice Address - Country:US
Practice Address - Phone:201-960-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY446669163WL0100X
NJ10521993163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant