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NPI Code Detail

MEDICARE: MRS. PAMELA ROSEN APRN

MEDICARE: MRS. PAMELA ROSEN APRN
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 Practitioner051917-23NH

General Provider Information

NPI Number : 1760805188
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA ROSEN APRN
Provider Business Mailing Address
First Line : 15 CONSTITUTION DR STE 1L
Second Line : ELLIOT FAMILY PRACTICE AT BEDFORD VILLAGE
City : BEDFORD
State : NH
Zip : 03110-6002
Country : US
Telephone Number : 603-472-7233
Fax Number :
Provider Business Practice Location Address
First Line : 15 CONSTITUTION DR STE 1L
Second Line : ELLIOT FAMILY PRACTICE AT BEDFORD VILLAGE
City : BEDFORD
State : NH
Zip : 03110-6002
Country : US
Telephone Number : 603-472-7233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2014
Last Update Date : 04/30/2017

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Directions to “ MRS. PAMELA ROSEN APRN” Practice Location

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