Provider Demographics
NPI:1548544638
Name:DAWARA, ROSITA (RN)
Entity type:Individual
Prefix:
First Name:ROSITA
Middle Name:
Last Name:DAWARA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 HARROGATE DR
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-5000
Mailing Address - Country:US
Mailing Address - Phone:609-261-6296
Mailing Address - Fax:
Practice Address - Street 1:32 HARROGATE DR
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-5000
Practice Address - Country:US
Practice Address - Phone:609-261-6296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR07123100163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology