IndividualActive
Mary Rosenthal
NPI 1962619387 · Community Health/Public Health Clinical Nurse Specialist · Fort Bragg, CA
Provider details
- NPI number
- 1962619387
- Entity type
- Individual
- Primary specialty
- Community Health/Public Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN271105 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
120 W Fir St
Fort Bragg, CA 95437-3204
Phone: (707) 921-2619
Approximate (ZIP-level) locationGet directions
Mailing address
120 W Fir St
Fort Bragg, CA 95437-3204
Registry dates
- Enumerated
- 2007-05-16
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.