Healthcare Provider Details

I. General information

NPI: 1609769231
Provider Name (Legal Business Name): ROSEMARY GALANTE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 E LANCASTER AVE
PENN WYNNE PA
19096-3450
US

IV. Provider business mailing address

605 ASHURST RD
HAVERTOWN PA
19083-5625
US

V. Phone/Fax

Practice location:
  • Phone: 484-476-2000
  • Fax:
Mailing address:
  • Phone: 610-804-5944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberSP033000
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License NumberSP033000
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: