Provider Demographics
NPI:1346249141
Name:GARTLEY, ROSANNA M (RN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNA
Middle Name:M
Last Name:GARTLEY
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1973 EDMON RD
Mailing Address - Street 2:
Mailing Address - City:EDMON
Mailing Address - State:PA
Mailing Address - Zip Code:15618-1277
Mailing Address - Country:US
Mailing Address - Phone:724-697-4641
Mailing Address - Fax:
Practice Address - Street 1:400 GRAHAM ST
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-2755
Practice Address - Country:US
Practice Address - Phone:412-778-4720
Practice Address - Fax:412-778-4759
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP007827363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily