Individual
RICHARD ANDREW ROSEBROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(864) 560-6654
(864) 560-7353
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
19225
SC
363LA2100X
Acute Care Nurse Practitioner
19225
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
19225
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3030
—
SC
Enumeration date
12/31/2014
Last updated
12/14/2020
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