Provider Demographics
NPI:1467872853
Name:ROHLSBERGER, JANINEEN (DNP, AGPCNP-BC, CCRN)
Entity Type:Individual
Prefix:
First Name:JANINEEN
Middle Name:
Last Name:ROHLSBERGER
Suffix:
Gender:F
Credentials:DNP, AGPCNP-BC, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 STRAITS ROCK RD
Mailing Address - Street 2:
Mailing Address - City:GAYLORDSVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06755-1528
Mailing Address - Country:US
Mailing Address - Phone:914-924-4396
Mailing Address - Fax:
Practice Address - Street 1:45 READE PL
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-3947
Practice Address - Country:US
Practice Address - Phone:914-924-4396
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9145363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health