Provider Demographics
NPI:1508968942
Name:ROSCHER, ELIZABETH TRUEB (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:TRUEB
Last Name:ROSCHER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MISS
Other - First Name:ELIZABETH
Other - Middle Name:ANN
Other - Last Name:TRUEB
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:ARNP
Mailing Address - Street 1:218 9TH STREET DR W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-4802
Mailing Address - Country:US
Mailing Address - Phone:941-721-3900
Mailing Address - Fax:941-721-7403
Practice Address - Street 1:218 9TH STREET DR W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-4802
Practice Address - Country:US
Practice Address - Phone:941-721-3900
Practice Address - Fax:941-721-7403
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLFLORIDA ARNP 1788802163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL301803200Medicaid