Provider Demographics
NPI:1831821990
Name:CHILSEN, ROSE (RDN, LDN)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:
Last Name:CHILSEN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:ROSE
Other - Middle Name:
Other - Last Name:O'KEEFFE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:425 CALIFORNIA ST STE 1400
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94104-2116
Mailing Address - Country:US
Mailing Address - Phone:831-484-7713
Mailing Address - Fax:650-360-0447
Practice Address - Street 1:425 CALIFORNIA ST STE 1400
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-2116
Practice Address - Country:US
Practice Address - Phone:831-484-7713
Practice Address - Fax:650-360-0447
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID133V00000X
IL133V00000X
NC133V00000X
OH133V00000X
PA133V00000X
IN133V00000X
MD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered