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Individual
BRENDA J ROSE
Active
Individual
BRENDA J ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
F334045
NY
363L00000X
Nurse Practitioner
F334045
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F334045
NY
Other
Enumeration date
09/30/2005
Last updated
11/11/2010
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