Provider Demographics
NPI:1992932883
Name:ROSNER, ELISHEVA B (RN)
Entity type:Individual
Prefix:
First Name:ELISHEVA
Middle Name:B
Last Name:ROSNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 ASCENSION ST
Mailing Address - Street 2:APT 3
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4608
Mailing Address - Country:US
Mailing Address - Phone:973-777-5170
Mailing Address - Fax:
Practice Address - Street 1:81 ASCENSION ST
Practice Address - Street 2:APT 3
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4608
Practice Address - Country:US
Practice Address - Phone:973-777-5170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-17
Last Update Date:2009-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY568825-1163W00000X
NJ26NR13029300163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse