Wellformed AI

NPI 1093996449 · live from the CMS NPI Registry

Rosanne Prince, Au.D., CCC/A

Audiologist-Hearing Aid Fitter in Jackson, WY. National Provider Identifier 1093996449, active.

NPI record

NPI1093996449 Type 1 · individual
StatusActive
Primary specialtyAudiologist-Hearing Aid Fitter 237600000X
Practice location555 E Broadway Ave Ste 229, Jackson, WY 83001
Practice phone307-739-7665
Mailing addressPo Box 428, Jackson, WY 83001
EnumeratedNovember 14, 2007
Last updatedFebruary 17, 2021
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist231H00000XA-990 (WY)
Audiologist-Hearing Aid Fitter primary237600000XA-990 (WY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.