Healthcare Provider Details

I. General information

NPI: 1184542284
Provider Name (Legal Business Name): DAVID E ROSENCRANS FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DAVE ROSENCRANS FNP-C

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 CHESTER BLVD
RICHMOND IN
47374-1914
US

IV. Provider business mailing address

1100 REID PKWY
RICHMOND IN
47374-1157
US

V. Phone/Fax

Practice location:
  • Phone: 765-935-1905
  • Fax:
Mailing address:
  • Phone: 765-983-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71018429A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: