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Individual
ROSEANNA L PARKHURST GATEWOOD
Active
Individual
ROSEANNA L PARKHURST GATEWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000457A
IN
363LF0000X
Family Nurse Practitioner
Primary
71000457A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71000457A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000311142
ANTHEM PIN
IN
01
—
000000488130
ANTHEM PIN
IN
01
—
000000557880
ANTHEM PIN
IN
05
—
200322860
—
IN
01
—
200829650G
MEDICAID GROUP
IN
01
—
200859330J
MEDICAID GROUP
IN
01
—
237890
MEDICARE GROUP
IN
01
—
250470S
MEDICARE GROUP
IN
05
—
78005964
—
KY
01
—
DF3251
RAILROAD GROUP
IN
01
—
P00362819
RAILROAD INDIVIDUAL
IN
Enumeration date
06/14/2006
Last updated
07/29/2024
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