Provider Demographics
NPI:1437499464
Name:CANTRELL, ROSALIND ELISE (APRN)
Entity type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:ELISE
Last Name:CANTRELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ROSALIND
Other - Middle Name:ELISE
Other - Last Name:CANTRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN
Mailing Address - Street 1:400 ARCOLA RD
Mailing Address - Street 2:
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3074
Mailing Address - Country:US
Mailing Address - Phone:877-286-9798
Mailing Address - Fax:414-622-3847
Practice Address - Street 1:400 ARCOLA RD
Practice Address - Street 2:
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3074
Practice Address - Country:US
Practice Address - Phone:877-286-9798
Practice Address - Fax:414-622-3847
Is Sole Proprietor?:No
Enumeration Date:2013-02-28
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031661363LF0000X
KY3007816363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily