Kelly D Rosenberger, CNM, NP
Advanced Practice Midwife in Rockford, IL. Individual provider (NPI-1).
NPI number1790760080
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1790760080
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kelly D Rosenberger
- Credential
- CNM, NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 9, 2005
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | 209008138 | IL | Yes |
| 363LW0102X | Nurse Practitioner, Women's Health | 209000443 | IL |
Practice location
1221 E State StRockford, IL 61104-2231
Phone 815-972-1000 · Fax 815-972-1086
Mailing address
1601 Parkview AveCredentialing S200
Rockford, IL 61107-1822
Phone 815-395-5861 · Fax 815-395-5575
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All 22 Advanced Practice Midwife providers in Rockford · All 5,035 providers in Rockford
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