Healthcare Provider Details

I. General information

NPI: 1578767372
Provider Name (Legal Business Name): JANICE B ROSENBAUM CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANICE B ROSSMAIR CRNP

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1637 E BUTLER PIKE
AMBLER PA
19002-2733
US

IV. Provider business mailing address

1637 E BUTLER PIKE
AMBLER PA
19002-2733
US

V. Phone/Fax

Practice location:
  • Phone: 215-460-7705
  • Fax: 215-540-3979
Mailing address:
  • Phone: 215-460-7705
  • Fax: 215-540-3979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberVP003858C
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: