Provider Demographics
NPI:1083951982
Name:ROSENBARGER, JANICE LOUISE (CNA)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:LOUISE
Last Name:ROSENBARGER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5350 W 575 S
Mailing Address - Street 2:
Mailing Address - City:ROSSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46065
Mailing Address - Country:US
Mailing Address - Phone:765-421-5779
Mailing Address - Fax:
Practice Address - Street 1:5350 W 575 S
Practice Address - Street 2:
Practice Address - City:ROSSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46065
Practice Address - Country:US
Practice Address - Phone:765-421-5779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INCNA9404297251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
INCNA9404297OtherCNA