# MANDY M NEWTON ROSENOW

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1871572974
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0010-00508 | NC | — |
| 363A00000X | Physician Assistant | 001608 | IA | Yes |
| 363A00000X | Physician Assistant | 0110002047 | VA | — |
| 363A00000X | Physician Assistant | 5601005731 | MI | — |
| 363A00000X | Physician Assistant | MA052924 | PA | — |

## Other

- **Enumeration date:** 01/17/2006
- **Last updated:** 02/15/2016