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NPI Code Detail

MEDICARE: EMILY ELIZABETH ROSENLIEB FNP

MEDICARE: EMILY ELIZABETH ROSENLIEB FNP
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 PractitionerAPRN.CNP.023641OH

General Provider Information

NPI Number : 1801364682
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELIZABETH ROSENLIEB FNP
Provider Business Mailing Address
First Line : 3515 MASSILLON RD STE 300
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-7854
Country : US
Telephone Number : 330-899-9350
Fax Number :
Provider Business Practice Location Address
First Line : 4444 ARLINGTON RD
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-9508
Country : US
Telephone Number : 330-896-6111
Fax Number : 330-634-1329
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2018
Last Update Date : 07/30/2019

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