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NPI Code Detail

MEDICARE: DR. MARCELLA MARYANN ROSENBERG DNP, MBA, MSN,FNP-BC

MEDICARE: DR. MARCELLA MARYANN ROSENBERG DNP, MBA, MSN,FNP-BC
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
1363L00000XNurse Practitioner209020184IL

General Provider Information

NPI Number : 1992663959
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARCELLA MARYANN ROSENBERG DNP, MBA, MSN,FNP-BC
Provider Business Mailing Address
First Line : 1810 N SPAULDING AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-4927
Country : US
Telephone Number : 773-991-2885
Fax Number :
Provider Business Practice Location Address
First Line : 4055 VALLEY VIEW LN STE 700
Second Line :
City : DALLAS
State : TX
Zip : 75244-5045
Country : US
Telephone Number : 855-984-5121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 02/07/2026

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Directions to “ DR. MARCELLA MARYANN ROSENBERG DNP, MBA, MSN,FNP-BC” Practice Location

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