Provider Demographics
NPI:1225782451
Name:ROMANOSKI, ROSS WILLIAM (CRNP)
Entity Type:Individual
Prefix:
First Name:ROSS
Middle Name:WILLIAM
Last Name:ROMANOSKI
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6481 CARLISLE PIKE
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2377
Mailing Address - Country:US
Mailing Address - Phone:717-796-9355
Mailing Address - Fax:
Practice Address - Street 1:75 E DERRY RD
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2705
Practice Address - Country:US
Practice Address - Phone:717-835-0700
Practice Address - Fax:717-835-0702
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASP025198363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty