Individual provider · Type 1 NPI

Maria La Rosa, CPNP-PC

Pediatric Nurse Practitioner · Park Ridge, IL

NPI number 1912458779 Active

Practice location

1675 Dempster St, 1st Floor
Park Ridge, IL 60068-1110

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X209.014182 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1912458779

Maria La Rosa, CPNP-PC's National Provider Identifier is 1912458779, issued on Oct 17, 2016. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Park Ridge, IL. The record was last updated on May 27, 2022.