Healthcare Provider Details

I. General information

NPI: 1235009663
Provider Name (Legal Business Name): JOSELYNE MIVUMBI-ROSENBERG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 METROPOLITAN ST FL 3
PITTSBURGH PA
15233-2212
US

IV. Provider business mailing address

1650 METROPOLITAN ST FL 3
PITTSBURGH PA
15233-2212
US

V. Phone/Fax

Practice location:
  • Phone: 877-255-4227
  • Fax:
Mailing address:
  • Phone: 877-255-4227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberSP034448
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: