Doctor Name: | MRS. WENDY LOU ROSENBAUM |
NPI Number: | 1902009962 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 164980 |
Business Practice Address: | 8391 Whiting Dr Chesterland, OH - 440262146 |
Business Phone Number: | 4407296518 |
Business Fax Number: | |
Mailing Address: | 8391 Whiting Dr, CHESTERLAND |
State: | OH |
Postal Code: | 440262146 |
Phone Number: | 4407296518 |
Fax Number: | |
NPI Enumeration Date: | 06/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WE0003X |
License Number: | 164980 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Emergency |
Taxonomy Definition: |