Doctor Name: | MARYANN ROSENCRANS |
NPI Number: | 1073607529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | RN1076146NP1 |
Business Practice Address: | 7371 Brandt Pike Suite C Huber Heights, OH - 45424 |
Business Phone Number: | 9372363956 |
Business Fax Number: | 9372365502 |
Mailing Address: | 1775 Delco Park Drive, KETTERING |
State: | OH |
Postal Code: | 45420 |
Phone Number: | 9372992587 |
Fax Number: | 9372990124 |
NPI Enumeration Date: | 10/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | RN1076146NP1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |