Healthcare Provider Details

I. General information

NPI: 1386301216
Provider Name (Legal Business Name): ROSEWOOD MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2021
Last Update Date: 07/01/2022
Certification Date: 06/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 MCCLELLANDTOWN RD STE 7
MC CLELLANDTOWN PA
15458-1253
US

IV. Provider business mailing address

PO BOX 248
MC CLELLANDTOWN PA
15458-0248
US

V. Phone/Fax

Practice location:
  • Phone: 412-564-3210
  • Fax: 724-798-4637
Mailing address:
  • Phone: 412-564-3210
  • Fax: 724-798-4637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier78017969
Identifier TypeMEDICAID
Identifier StatePA
Identifier Issuer

VIII. Authorized Official

Name: VALERIE MARGARET MESSER
Title or Position: OWNER
Credential: CRNP
Phone: 412-564-3210