Individual
MS. MARITZA SAUCEDO ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2235 CHALLENGER WAY STE 101, SANTA ROSA, CA 95407-5421
(707) 565-4900
Mailing address
1129 GUMWOOD LN, PETALUMA, CA 94954-4330
(415) 497-3501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95202174
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018455
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/29/2020
Last updated
12/05/2022
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