Healthcare Provider Details

I. General information

NPI: 1295385904
Provider Name (Legal Business Name): ERIN NICOLE ROSENBERGER CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2019
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11500 NORTHLAKE DR STE 400
CINCINNATI OH
45249-1658
US

IV. Provider business mailing address

11500 NORTHLAKE DR STE 400
CINCINNATI OH
45249-1658
US

V. Phone/Fax

Practice location:
  • Phone: 513-706-1149
  • Fax:
Mailing address:
  • Phone: 513-706-1149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberRN.314474
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3014554
License Number StateKY
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP.024538
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: