Provider Demographics
NPI:1871529438
Name:HARTER, ROSEMARIE (ARNP)
Entity type:Individual
Prefix:MS
First Name:ROSEMARIE
Middle Name:
Last Name:HARTER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22952 OXFORD PL
Mailing Address - Street 2:#18 C
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-6847
Mailing Address - Country:US
Mailing Address - Phone:561-844-0798
Mailing Address - Fax:
Practice Address - Street 1:1786 NW BOCA RATON BLVD
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-1616
Practice Address - Country:US
Practice Address - Phone:561-368-6920
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9181506363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner