Provider Demographics
NPI:1053548420
Name:ALBANY, ROSEMARY (APRN)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:ALBANY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:ROSEMARY
Other - Middle Name:A
Other - Last Name:FOSTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 191
Mailing Address - Street 2:PROVIDER ENROLLMENT
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:1020 BALTIMORE PIKE
Practice Address - Street 2:SUITE 300
Practice Address - City:GLEN MILLS
Practice Address - State:PA
Practice Address - Zip Code:19342-1362
Practice Address - Country:US
Practice Address - Phone:610-358-2410
Practice Address - Fax:610-459-9183
Is Sole Proprietor?:No
Enumeration Date:2009-06-12
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN265704L363L00000X
PASP003433D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA102892394Medicaid
MD1162543-00Medicaid
NJ0545864Medicaid