Provider Demographics
NPI:1104709922
Name:PASCO, ROSANNE ANGELI HERRERA (FNP-BC)
Entity type:Individual
Prefix:
First Name:ROSANNE ANGELI
Middle Name:HERRERA
Last Name:PASCO
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10342 VASSAR AVE
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-2166
Mailing Address - Country:US
Mailing Address - Phone:818-932-4963
Mailing Address - Fax:
Practice Address - Street 1:21300 SHERMAN WAY STE 3
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-3672
Practice Address - Country:US
Practice Address - Phone:818-900-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95180929163W00000X
CA95034506363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse