Provider Demographics
NPI:1730801804
Name:ROSALES, STEVEN ANTHONY (FNP-C)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:ANTHONY
Last Name:ROSALES
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:STEVEN
Other - Middle Name:A
Other - Last Name:ROSALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP-C
Mailing Address - Street 1:31015 AVENIDA ALVERA
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-3019
Mailing Address - Country:US
Mailing Address - Phone:626-421-2229
Mailing Address - Fax:626-359-2401
Practice Address - Street 1:88775 AVENUE 76TH
Practice Address - Street 2:SUITE 1
Practice Address - City:THERMAL
Practice Address - State:CA
Practice Address - Zip Code:92274
Practice Address - Country:US
Practice Address - Phone:760-397-2501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022273363LF0000X
FLAPRN11021343363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty