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NPI Code Detail

MEDICARE: JOHANNA YVETTE DE LA ROSA

MEDICARE: JOHANNA YVETTE DE LA ROSA
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
1104100000XSocial Worker12925-MNV

General Provider Information

NPI Number : 1851265284
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHANNA YVETTE DE LA ROSA
Provider Business Mailing Address
First Line : 2655 ENTERPRISE RD
Second Line :
City : RENO
State : NV
Zip : 89512-1666
Country : US
Telephone Number : 775-688-1600
Fax Number :
Provider Business Practice Location Address
First Line : 2655 ENTERPRISE RD
Second Line :
City : RENO
State : NV
Zip : 89512-1666
Country : US
Telephone Number : 775-688-1600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2025
Last Update Date : 02/09/2026

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Directions to “ JOHANNA YVETTE DE LA ROSA ” Practice Location

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