Healthcare Provider Details

I. General information

NPI: 1225852049
Provider Name (Legal Business Name): SARAH KATE ROSENBERG WHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2024
Last Update Date: 05/21/2025
Certification Date: 05/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 N CLAYTON ST STE 505
WILMINGTON DE
19805-3165
US

IV. Provider business mailing address

340 S MARKET ST APT 205
WILMINGTON DE
19801-5359
US

V. Phone/Fax

Practice location:
  • Phone: 302-421-4775
  • Fax:
Mailing address:
  • Phone: 940-595-0629
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberLH-0010297
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: