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Individual
ROSE M VIDMAR
Active
Individual
ROSE M VIDMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APNP, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
7363-33
WI
363LG0600X
Gerontology Nurse Practitioner
7363-33
WI
363LP2300X
Primary Care Nurse Practitioner
7363-33
WI
Other
Enumeration date
10/26/2016
Last updated
07/22/2025
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