=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992640171
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | TRISHA JANE ROSENTHAL
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/22/2026
-----------------------------------------------------
Last Update Date | 04/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 232 W 25TH ST
-----------------------------------------------------
City | ERIE
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16544-0002
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 814-452-5000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11245 TRASK RD
-----------------------------------------------------
City | WATERFORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 16441-7713
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WR0006X
-----------------------------------------------------
Taxonomy Name | Registered Nurse First Assistant
-----------------------------------------------------
License Number | RN626348
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------