MEDICARE: DR. ROSEMARY A NOWINS M.D.

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
1	207R00000X	Internal Medicine Physician	6311	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	595921	OTHER	NV	AETNA

General Provider Information

NPI Number	:	1831239524
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROSEMARY A NOWINS M.D.

Provider Business Mailing Address
First Line	:	3340 TOPAZ ST STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3906
Country	:	US
Telephone Number	:	702-272-1551
Fax Number	:	702-272-1554

Provider Business Practice Location Address
First Line	:	3340 TOPAZ ST STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89121-3906
Country	:	US
Telephone Number	:	702-272-1551
Fax Number	:	702-272-1554

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	11/14/2023

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