Doctor Name: | ROSEMARY T TROTTA |
NPI Number: | 1700874385 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RN, APRN-BC |
License Number: | 2492-033 |
Business Practice Address: | 9351 Rayne Rd Sturtevant, WI - 531771842 |
Business Phone Number: | 2628842410 |
Business Fax Number: | 2628866076 |
Mailing Address: | 2895 N Augusta Dr, WADSWORTH |
State: | IL |
Postal Code: | 600838913 |
Phone Number: | 8472440568 |
Fax Number: | |
NPI Enumeration Date: | 10/08/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 2492-033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |