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NPI Code Detail

MEDICARE: MRS. ROSALINDA ROSSOW FNP

MEDICARE: MRS. ROSALINDA ROSSOW 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
1363LF0000XFamily Nurse Practitioner255170TX

General Provider Information

NPI Number : 1003039900
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROSALINDA ROSSOW FNP
Provider Business Mailing Address
First Line : 7304 N 30TH ST
Second Line :
City : MCALLEN
State : TX
Zip : 78504-4988
Country : US
Telephone Number : 956-630-1405
Fax Number :
Provider Business Practice Location Address
First Line : 1201 W UNIVERSITY DR
Second Line : ESRH STUDENT HEALTH SERVICES
City : EDINBURG
State : TX
Zip : 78539-2909
Country : US
Telephone Number : 956-381-2511
Fax Number : 956-381-2512
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2007
Last Update Date : 07/08/2007

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