# MS. MARILYN ANN ROTHENBERG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336187863
- **Gender:** F
- **Credential:** C.N.M.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 4704123676 | MI | — |
| 367A00000X | Advanced Practice Midwife | 4704123676 | MI | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 08/16/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4208662890 | BCBS PIN | MA |
| 05 | — | 4807836 | — | MI |