Basic Information
Provider Information
NPI: 1922239805
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROHRBACKER
FirstName: BETH
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: RN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 201 CHESTNUT AVE
Address2:  
City: ALTOONA
State: PA
PostalCode: 166014927
CountryCode: US
TelephoneNumber: 8149465411
FaxNumber: 8149408471
Practice Location
Address1: 500 EAST CHESTNUT AVENUE NFP
Address2:  
City: ALTOONA
State: PA
PostalCode: 16601
CountryCode: US
TelephoneNumber: 8149421903
FaxNumber: 8145051100
Other Information
ProviderEnumerationDate: 07/27/2009
LastUpdateDate: 05/24/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN528855LPAY Nursing Service ProvidersRegistered Nurse 

No ID Information.


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