Provider Demographics
NPI:1487318648
Name:ROSENFELD, NICOLE RAE (RPH, PHARMD)
Entity type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:RAE
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1356 HOFFMAN BLVD
Mailing Address - Street 2:
Mailing Address - City:WEST MIFFLIN
Mailing Address - State:PA
Mailing Address - Zip Code:15122-2322
Mailing Address - Country:US
Mailing Address - Phone:412-461-4295
Mailing Address - Fax:
Practice Address - Street 1:1356 HOFFMAN BLVD
Practice Address - Street 2:
Practice Address - City:WEST MIFFLIN
Practice Address - State:PA
Practice Address - Zip Code:15122-2322
Practice Address - Country:US
Practice Address - Phone:412-461-4295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-25
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARP450882183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist