MEDICARE: ROSANNE WASHINGTON PA

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	363A00000X	Physician Assistant	001317	CT
2	363A00000X	Physician Assistant	684	NH

General Provider Information

NPI Number	:	1427071927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROSANNE WASHINGTON PA

Provider Business Mailing Address
First Line	:	58 RANGE RD
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-2026
Country	:	US
Telephone Number	:	603-894-0063
Fax Number	:	603-894-9727

Provider Business Practice Location Address
First Line	:	58 RANGE RD
Second Line	:
City	:	WINDHAM
State	:	NH
Zip	:	03087-2026
Country	:	US
Telephone Number	:	603-894-0063
Fax Number	:	603-894-9727

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

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	01/18/2011

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Directions to “ ROSANNE WASHINGTON PA” Practice Location

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