Healthcare Provider Details

I. General information

NPI: 1659158798
Provider Name (Legal Business Name): ROSEANNE ELIZABETH NORGREN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSIE NORGREN CRNP

II. Dates (important events)

Enumeration Date: 09/12/2023
Last Update Date: 11/20/2023
Certification Date: 11/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3824 NORTHERN PIKE STE 200
MONROEVILLE PA
15146-2173
US

IV. Provider business mailing address

3824 NORTHERN PIKE
MONROEVILLE PA
15146-2141
US

V. Phone/Fax

Practice location:
  • Phone: 412-380-2800
  • Fax:
Mailing address:
  • Phone: 412-380-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberSP028202
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: