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Individual
VADA ALBERTA ROSE
Active
Individual
VADA ALBERTA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024166719
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063523454
—
VA
05
—
7100127160
—
KY
01
—
P00686108
RAILROAD MEDICARE
VA
Enumeration date
08/31/2006
Last updated
02/23/2017
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