Healthcare Provider Details

I. General information

NPI: 1336405851
Provider Name (Legal Business Name): DANIELLE NICOLE ROSEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 PLAZA DR
SAINT CLAIRSVILLE OH
43950-6700
US

IV. Provider business mailing address

380 SUMMIT AVE., MSO PHYSICIAN BILLING
STEUBENVILLE OH
43952-2667
US

V. Phone/Fax

Practice location:
  • Phone: 800-318-1794
  • Fax: 234-285-6816
Mailing address:
  • Phone: 740-283-7597
  • Fax: 740-283-7807

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.13157
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number70670
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: