Provider Demographics
NPI:1164778890
Name:ROSSACCI, KARYN LYNN (NP)
Entity Type:Individual
Prefix:
First Name:KARYN
Middle Name:LYNN
Last Name:ROSSACCI
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Gender:F
Credentials:NP
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Mailing Address - Street 1:60 HOSPITAL RD
Mailing Address - Street 2:WING EMERGENCY SERVICES
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-2205
Mailing Address - Country:US
Mailing Address - Phone:978-466-2994
Mailing Address - Fax:978-466-2993
Practice Address - Street 1:40 WRIGHT ST
Practice Address - Street 2:WING MEMORIAL HOSPITAL
Practice Address - City:PALMER
Practice Address - State:MA
Practice Address - Zip Code:01069-1138
Practice Address - Country:US
Practice Address - Phone:413-294-5308
Practice Address - Fax:413-284-5704
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2015-03-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MARN256683363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner