Healthcare Provider Details

I. General information

NPI: 1093479917
Provider Name (Legal Business Name): MEGAN NICOLE ROZMAJZL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 JENNIFER CT STE B
CARLISLE PA
17015-7694
US

IV. Provider business mailing address

2 JENNIFER CT STE B
CARLISLE PA
17015-7694
US

V. Phone/Fax

Practice location:
  • Phone: 717-218-9830
  • Fax: 717-218-9833
Mailing address:
  • Phone: 717-218-9830
  • Fax: 717-218-9833

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberOA007707
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA-2194
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: