Individual
GAIL ADELINE ROSENHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
6713 SERAH LN, JAMESVILLE, NY 13078-9690
(315) 380-6195
Mailing address
6713 SERAH LN, JAMESVILLE, NY 13078-9690
(315) 426-3600
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
656692
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F406079-01
NY
Other
Enumeration date
04/20/2019
Last updated
08/14/2024
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