Individual provider · Type 1 NPI

Ilya Rozenberg, MS/CRNP

Psychiatric/Mental Health Nurse Practitioner · Glen Burnie, MD

NPI number 1467460865 Active

Practice location

7452 Baltimore Annapolis Blvd, Suite 107
Glen Burnie, MD 21061-3547

Fax (410) 766-1551

Mailing address

3 Marcie Woods Ct
Baltimore, MD 21208-1965

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR143360 (MD)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1467460865

Ilya Rozenberg, MS/CRNP's National Provider Identifier is 1467460865, issued on Aug 3, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glen Burnie, MD. The record was last updated on Oct 3, 2014.