MEDICARE: MS. ERIN NICOLE ROSENBERGER CNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WG0000X	General Practice Registered Nurse	RN.314474	OH
2	363LF0000X	Family Nurse Practitioner	3014554	KY
3	363LF0000X	Family Nurse Practitioner	CNP.024538	OH

General Provider Information

NPI Number	:	1295385904
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ERIN NICOLE ROSENBERGER CNP

Provider Business Mailing Address
First Line	:	11500 NORTHLAKE DR STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1658
Country	:	US
Telephone Number	:	513-706-1149
Fax Number	:

Provider Business Practice Location Address
First Line	:	11500 NORTHLAKE DR STE 400
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45249-1658
Country	:	US
Telephone Number	:	513-706-1149
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2019
Last Update Date	:	02/19/2025

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