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Individual
MRS. ANDREA A ROSE
Active
Individual
MRS. ANDREA A ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
RN221014
GA
363L00000X
Nurse Practitioner
Primary
RN221014
GA
Other
Enumeration date
04/17/2018
Last updated
09/30/2026
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