Individual
MRS. HEATHER ANNETTE ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MHSC
Contact information
Practice address
100 WALTER WARD BLVD, ABINGDON, MD 21009
(443) 643-4700
(443) 643-4707
Mailing address
1170 HOLLYWOOD TERRACE, YORK, PA 17403
(717) 395-3341
(443) 643-4707
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C05606
MD PHYSICIAN ASSISTANT LICENSE
MD
01
—
MA058094
PA LICENSE
PA
01
—
OA003743
PA LICENSE
PA
Enumeration date
10/21/2014
Last updated
12/07/2020
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