Healthcare Provider Details

I. General information

NPI: 1326484957
Provider Name (Legal Business Name): AMPARO C. ROSEN RN BS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2013
Last Update Date: 05/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9201 15TH AVE NW
SEATTLE WA
98117-2336
US

IV. Provider business mailing address

9201 15TH AVE NW
SEATTLE WA
98117-2336
US

V. Phone/Fax

Practice location:
  • Phone: 206-252-1207
  • Fax:
Mailing address:
  • Phone: 206-252-1207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberRN00051898
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: