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NPI Code Detail

MEDICARE: ROSEMARY T TROTTA MS, RN, APRN-BC

MEDICARE: ROSEMARY T TROTTA MS, RN, APRN-BC
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
1363LF0000XFamily Nurse Practitioner2492-033WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700874385
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSEMARY T TROTTA MS, RN, APRN-BC
Provider Business Mailing Address
First Line : 3001 GREEN BAY RD BLDG 9
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3048
Country : US
Telephone Number : 224-610-3784
Fax Number :
Provider Business Practice Location Address
First Line : 3001 GREEN BAY RD BLDG 9
Second Line :
City : NORTH CHICAGO
State : IL
Zip : 60064-3048
Country : US
Telephone Number : 224-610-3784
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2005
Last Update Date : 07/07/2020

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