Provider Demographics
NPI:1073163234
Name:OROS, JOHN D (RN)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:OROS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3137 MIDDLE SCHOOL DR
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1734
Mailing Address - Country:US
Mailing Address - Phone:570-852-9513
Mailing Address - Fax:
Practice Address - Street 1:3137 MIDDLE SCHOOL DR
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:PA
Practice Address - Zip Code:19403-1734
Practice Address - Country:US
Practice Address - Phone:570-852-9513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN689965163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool