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Contact Information

LISA M ROSSBACH
11400 4TH ST N APT 604
SAINT PETERSBURG, FL33716-2928
 Phone: 248-854-1554
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

School

363LS0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for LISA M ROSSBACH · (Female)

NPI Number 1053146225
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2024
Last updated 12/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • FL License # RN9287905
  • MI License # 4704264456
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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