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Individual
NADINE L ROSSI
Active
Individual
NADINE L ROSSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA055564
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1612826
GATEWAY MEDICARE ASSURED
PA
01
—
2746292
HIGHMARK BLUE SHIELD
PA
Enumeration date
09/05/2012
Last updated
07/28/2017
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