Provider Demographics
NPI:1336779537
Name:ROSENBERGER, JANELLE (NP-C)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:ROSENBERGER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2309 W GREEN OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76016-1222
Mailing Address - Country:US
Mailing Address - Phone:817-496-4957
Mailing Address - Fax:817-496-3783
Practice Address - Street 1:2309 W GREEN OAKS BLVD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76016-1222
Practice Address - Country:US
Practice Address - Phone:817-496-4957
Practice Address - Fax:817-496-3783
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX849330163W00000X
TXAP144713363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse