Provider Demographics
NPI:1811234412
Name:ROSSMAN, MARLENE GERISE (MSN, RN, CPNP)
Entity Type:Individual
Prefix:MS
First Name:MARLENE
Middle Name:GERISE
Last Name:ROSSMAN
Suffix:
Gender:F
Credentials:MSN, RN, CPNP
Other - Prefix:MS
Other - First Name:MARLENE
Other - Middle Name:GERISE
Other - Last Name:DOUGLASS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:318B N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-3715
Mailing Address - Country:US
Mailing Address - Phone:215-345-6090
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:318B N MAIN ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-3715
Practice Address - Country:US
Practice Address - Phone:215-345-6090
Practice Address - Fax:302-651-4945
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DELJ-0000380363LP0200X
PASP012515363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics