Provider Demographics
NPI:1356936306
Name:ZHAO, ROSEANNE MANALANG (RN)
Entity type:Individual
Prefix:
First Name:ROSEANNE
Middle Name:MANALANG
Last Name:ZHAO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:ANNIE
Other - Middle Name:
Other - Last Name:ZHAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:210 PARQUE DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-3123
Mailing Address - Country:US
Mailing Address - Phone:310-804-7744
Mailing Address - Fax:
Practice Address - Street 1:210 PARQUE DR
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94134-3123
Practice Address - Country:US
Practice Address - Phone:310-804-7744
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-02
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA656168163W00000X
CA95019198363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse