Basic Information
| Provider Information | |||||||||
| NPI: | 1982190260 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ROSSITER | ||||||||
| FirstName: | GRETCHEN | ||||||||
| MiddleName: | SUZANNE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14175 BELLE VALLEY RD | ||||||||
| Address2: | |||||||||
| City: | CALDWELL | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437249550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7405093511 | ||||||||
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| Practice Location | |||||||||
| Address1: | 945 BETHESDA DR STE 230 | ||||||||
| Address2: | |||||||||
| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437011880 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7405866888 | ||||||||
| FaxNumber: | 7405866818 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2018 | ||||||||
| LastUpdateDate: | 10/01/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | APRN.CNP.022928 | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.