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NPI Code Detail

MEDICARE: AMY TEMPLE ROSENBERGER RN, BSN

MEDICARE: AMY TEMPLE ROSENBERGER RN, BSN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WD0400XDiabetes Educator Registered Nurse183712NC
2363LF0000XFamily Nurse Practitioner5013946NC

General Provider Information

NPI Number : 1710078159
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY TEMPLE ROSENBERGER RN, BSN
Provider Business Mailing Address
First Line : 605 BOSLEY RD
Second Line :
City : SUNBURY
State : NC
Zip : 27979-9601
Country : US
Telephone Number : 252-331-3269
Fax Number :
Provider Business Practice Location Address
First Line : 711 ROANOKE AVE
Second Line :
City : ELIZABETH CITY
State : NC
Zip : 27909-5643
Country : US
Telephone Number : 252-338-4400
Fax Number : 252-338-4440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2006
Last Update Date : 01/06/2021

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