Individual provider · Type 1 NPI

Alyssa Ilani Rosas

Licensed Practical Nurse · Santa Rosa, CA

NPI number 1104723303 Active

Practice location

2285 Challenger Way
Santa Rosa, CA 95407-5418

Fax (707) 569-2436

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X726472 (CA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1104723303

Alyssa Ilani Rosas's National Provider Identifier is 1104723303, issued on Oct 21, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Santa Rosa, CA. The record was last updated on Oct 21, 2026.