Individual
TINA ROSENGRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1701 INNOVATION DR, YORK, PA 17408-8815
(717) 843-8623
(717) 862-5576
Mailing address
1701 INNOVATION DR, YORK, PA 17408-8815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP015169
PA
363LX0106X
Occupational Health Nurse Practitioner
Primary
SP015169
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103424566
—
PA
Enumeration date
09/14/2015
Last updated
04/09/2021
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