Individual provider · Type 1 NPI

Mark David Rostash

Gerontology Nurse Practitioner · Lebanon, NH

NPI number 1780222158 Active

Practice location

1 Medical Center Dr
Lebanon, NH 03756-0001

Mailing address

PO Box 810
Hanover, NH 03755-0810

Other practice locations

  • 5301 E Grant Rd, Tucson, AZ 85712-2805 · (520) 324-5461
  • 1301 Punchbowl St, Honolulu, HI 96813-2499 · (808) 691-1000

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X116942-23 (NH)
Acute Care Nurse Practitioner 363LA2100X235645 (AZ)
Critical Care Medicine Nurse Practitioner 363LC0200X235645 (AZ)
Acute Care Nurse Practitioner 363LA2100XAPRN-3542 (HI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1780222158

Mark David Rostash's National Provider Identifier is 1780222158, issued on Dec 17, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lebanon, NH. The record was last updated on Sep 10, 2026.