Basic Information
| Provider Information | |||||||||
| NPI: | 1821244740 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ABARA | ||||||||
| FirstName: | ROSALIND | ||||||||
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| Credential: | RN, MSN, PHD, CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4996 SCHOOL HOUSE CT | ||||||||
| Address2: | |||||||||
| City: | DOUGLASSVILLE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 195189310 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2672513397 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9900 BREN RD E | ||||||||
| Address2: | |||||||||
| City: | MINNETONKA | ||||||||
| State: | MN | ||||||||
| PostalCode: | 553439664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8662979232 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2008 | ||||||||
| LastUpdateDate: | 06/26/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/26/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | TP003781C | PA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.