Individual
DEIDANIA E ROSADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
300 BRETZ CT, SUITE 100, NEWPORT, PA 17074-8614
(717) 567-3174
(717) 703-0018
Mailing address
300 BRETZ CT STE 100, NEWPORT, PA 17074-8615
(717) 567-3174
(717) 703-0018
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016046
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103101369
—
PA
Enumeration date
03/29/2016
Last updated
01/30/2021
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