Provider Demographics
NPI:1992546337
Name:ROSENBERG, FRANK D (FNP-C)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:D
Last Name:ROSENBERG
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 E UNIVERSITY DR STE 104
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85288-8423
Mailing Address - Country:US
Mailing Address - Phone:602-283-0080
Mailing Address - Fax:602-283-0081
Practice Address - Street 1:2055 E SOUTHERN AVE STE A
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7507
Practice Address - Country:US
Practice Address - Phone:602-283-0080
Practice Address - Fax:602-283-0081
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-31
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN113965163W00000X
AZ308720363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty