Individual
JOHN W ROSENCRANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
200 2ND AVE, KINGSTON, PA 18704-5722
(570) 288-9315
Mailing address
395 OSCEOLA AVE, KINGSTON, PA 18704-5118
(570) 288-1258
(570) 714-7851
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TP005021B
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00185871
RR MEDICARE
PA
01
—
R01561461
BLUE SHIELD
PA
Enumeration date
09/15/2006
Last updated
07/08/2007
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