Individual
DONNA ROSTRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
90 HORSESHOE CT, HIRAM, GA 30141-2362
(770) 896-8004
Mailing address
90 HORSESHOE CT, HIRAM, GA 30141-2362
(770) 896-8004
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
RN207514
GA
163WH0200X
Home Health Registered Nurse
Primary
RN207514
GA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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