Gholston, Rosalyn

Gholston, Rosalyn is an individual health care provider with primary practice located at 4500 Euclid Ave , Cleveland OH 44103-3736. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gholston, Rosalyn can be contacted via phone (216) 815-0922.

Contact Information

Primary practice address
4500 Euclid Ave Cleveland OH 44103-3736
Phone: (216) 815-0922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X RN.442525 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0030980 Ohio

Profile Details

NPI number 1760140545
LBN Legal business name Gholston, Rosalyn
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2021
Last updated Apr 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760140545 NPPES
Ohio MEDICAID PENDING

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