# MARK DAVID ROSTASH

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

## Provider details

- **NPI number:** 1780222158
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 116942-23 | NH | Yes |

## Other

- **Enumeration date:** 12/17/2019
- **Last updated:** 09/10/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 092349 | — | AZ |