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NPI Code Detail

MEDICARE: NANCY CONCEPCION ROSALES APRN, MSN, FNP

MEDICARE: NANCY CONCEPCION ROSALES APRN, MSN, 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 PractitionerAP3674AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1RN163186OTHERAZRN LICENSE
2AP3674OTHERAZADV PRACTITIONER LICENSE

General Provider Information

NPI Number : 1013195171
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY CONCEPCION ROSALES APRN, MSN, FNP
Provider Business Mailing Address
First Line : PO BOX 10880
Second Line :
City : PRESCOTT
State : AZ
Zip : 86304-0880
Country : US
Telephone Number : 928-759-5874
Fax Number : 928-458-2039
Provider Business Practice Location Address
First Line : 1050 GAIL GARDNER WAY STE 300
Second Line :
City : PRESCOTT
State : AZ
Zip : 86305-1640
Country : US
Telephone Number : 928-717-5232
Fax Number : 928-717-5238
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/31/2008
Last Update Date : 03/07/2023

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