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Individual
MARK DAVID ROSTASH
Active
Individual
MARK DAVID ROSTASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
235645
AZ
363LA2100X
Acute Care Nurse Practitioner
APRN-3542
HI
363LC0200X
Critical Care Medicine Nurse Practitioner
235645
AZ
363LG0600X
Gerontology Nurse Practitioner
Primary
116942-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
092349
—
AZ
Enumeration date
12/17/2019
Last updated
09/10/2026
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