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NPI Code Detail

MEDICARE: SHARON K ROSE FNP

MEDICARE: SHARON K ROSE FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner099820MO

General Provider Information

NPI Number : 1033119623
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON K ROSE FNP
Provider Business Mailing Address
First Line : 1001 W WORLEY ST
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-2037
Country : US
Telephone Number : 573-214-2314
Fax Number : 573-814-2784
Provider Business Practice Location Address
First Line : 1001 WEST WORLEY
Second Line :
City : COLUMBIA
State : MO
Zip : 65203-2037
Country : US
Telephone Number : 573-214-2314
Fax Number : 573-814-2784
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 07/09/2007

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