Individual
CASEY S ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, CRNP, FNP-BC
Contact information
Practice address
801 SPRUCE ST FL 8, PHILADELPHIA, PA 19107-5701
(609) 220-2223
Mailing address
910 SPRUCE ST APT 9, PHILADELPHIA, PA 19107-6174
(609) 220-2223
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR20038600
NJ
163W00000X
Registered Nurse
RN700307
PA
363LF0000X
Family Nurse Practitioner
Primary
SP024321
PA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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