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NPI Code Detail

MEDICARE: MR. EDWARD MICHAEL ROSANSKI ARNP, RN

MEDICARE: MR. EDWARD MICHAEL ROSANSKI ARNP, RN
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
1163WP0809XAdult Psychiatric/Mental Health Registered NurseRN00107991WA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerAP30004113WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841366036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD MICHAEL ROSANSKI ARNP, RN
Provider Business Mailing Address
First Line : 500 COLUMBIA ST NW STE 102
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-4447
Country : US
Telephone Number : 537-527-3202
Fax Number : 360-252-6466
Provider Business Practice Location Address
First Line : 500 COLUMBIA ST NW STE 102
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-4447
Country : US
Telephone Number : 537-527-3202
Fax Number : 602-526-4663
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 07/20/2023

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