1912033994 NPI number — SHERI L ROLEWSKI CRNP

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912033994 NPI number — SHERI L ROLEWSKI CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ROLEWSKI
Provider First Name:
SHERI
Provider Middle Name:
L
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912033994
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/08/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1022B NORTH MAIN STREET
Provider Second Line Business Mailing Address:
LOWER LEVEL
Provider Business Mailing Address City Name:
BUTLER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16001-1954
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-661-3376
Provider Business Mailing Address Fax Number:
724-431-0252

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
107 GAMMA DR STE 120
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15238-2917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-541-5839
Provider Business Practice Location Address Fax Number:
127-826-3814
Provider Enumeration Date:
02/26/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  TP005114B , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: P00452160 . This is a "RAILROAD MEDICARE PTAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P00480754 . This is a "RAILROAD MEDICARE PTAN SIEGEL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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