MEDICARE: JANINEEN ROHLSBERGER DNP, AGPCNP-BC, CCRN

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	363LA2200X	Adult Health Nurse Practitioner	9145	CT
2	363LA2200X	Adult Health Nurse Practitioner	310047	NY

General Provider Information

NPI Number	:	1467872853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANINEEN ROHLSBERGER DNP, AGPCNP-BC, CCRN

Provider Business Mailing Address
First Line	:	8 STRAITS ROCK RD
Second Line	:
City	:	GAYLORDSVILLE
State	:	CT
Zip	:	06755-1528
Country	:	US
Telephone Number	:	914-924-4396
Fax Number	:

Provider Business Practice Location Address
First Line	:	466 LEXINGTON AVE
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10017-3140
Country	:	US
Telephone Number	:	212-746-1644
Fax Number	:

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

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	07/24/2025

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