Provider Demographics
NPI:1629530704
Name:ROSEMOND DICKSON BARTELS CRNP LLC
Entity Type:Organization
Organization Name:ROSEMOND DICKSON BARTELS CRNP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEMOND
Authorized Official - Middle Name:DICKSON
Authorized Official - Last Name:BARTELS
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:301-856-0334
Mailing Address - Street 1:9131 PISCATAWAY ROAD
Mailing Address - Street 2:SUITE 740
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735
Mailing Address - Country:US
Mailing Address - Phone:301-856-0334
Mailing Address - Fax:301-856-0709
Practice Address - Street 1:9131 PISCATAWAY ROAD
Practice Address - Street 2:SUITE 740
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735
Practice Address - Country:US
Practice Address - Phone:301-856-0334
Practice Address - Fax:301-856-0709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2019-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty