Rozansky, Phillissa Kay

Rozansky, Phillissa Kay is an individual health care provider with primary practice located at 190 E Bannock St , Boise ID 83712-6241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Rozansky, Phillissa Kay can be contacted via phone (303) 717-4168.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN.0124082 Colorado

Profile Details

NPI number 1336668730
LBN Legal business name Rozansky, Phillissa Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2017
Last updated Jun 16th, 2018 - about 6 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 1336668730 NPPES
Colorado Other RN.0124082 RN LICENSE

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