Doctor Name: | ROSE WASSEL |
NPI Number: | 1942596879 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | UP000427G |
Business Practice Address: | 105 Firethorn Rd Baden, PA - 150052619 |
Business Phone Number: | 4127496788 |
Business Fax Number: | |
Mailing Address: | 105 Firethorn Rd, BADEN |
State: | PA |
Postal Code: | 150052619 |
Phone Number: | 4127496788 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2011 |
NPI Last Update Date: | 06/20/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | UP000427G |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |