Provider Demographics
NPI:1386301216
Name:ROSEWOOD MEDICAL LLC
Entity type:Organization
Organization Name:ROSEWOOD MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALERIE
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:MESSER
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:412-564-3210
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:MC CLELLANDTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15458-0248
Mailing Address - Country:US
Mailing Address - Phone:412-564-3210
Mailing Address - Fax:724-798-4637
Practice Address - Street 1:870 MCCLELLANDTOWN RD STE 7
Practice Address - Street 2:
Practice Address - City:MC CLELLANDTOWN
Practice Address - State:PA
Practice Address - Zip Code:15458-1253
Practice Address - Country:US
Practice Address - Phone:412-564-3210
Practice Address - Fax:724-798-4637
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-28
Last Update Date:2022-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA78017969Medicaid