Provider Demographics
NPI:1841694726
Name:ROSARIO, HEATHER ANNETTE (PA-C, MHSC)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:ANNETTE
Last Name:ROSARIO
Suffix:
Gender:F
Credentials:PA-C, MHSC
Other - Prefix:MISS
Other - First Name:HEATHER
Other - Middle Name:ANNETTE
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C, MHSC
Mailing Address - Street 1:1170 HOLLYWOOD TERRACE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403
Mailing Address - Country:US
Mailing Address - Phone:717-395-3341
Mailing Address - Fax:443-643-4707
Practice Address - Street 1:100 WALTER WARD BLVD
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:MD
Practice Address - Zip Code:21009
Practice Address - Country:US
Practice Address - Phone:443-643-4700
Practice Address - Fax:443-643-4707
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAOA003743OtherPA LICENSE
MDC05606OtherMD PHYSICIAN ASSISTANT LICENSE
PAMA058094OtherPA LICENSE