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Individual

MS. KELLI T VILA-ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
512 FLINT PARC CIR, BESSEMER, AL 35022-6157
(855) 635-6508
(205) 428-8480
Mailing address
512 FLINT PARC CIRCLE, BESSEMER, AL 35022-6157
(855) 635-6508
(205) 572-7566

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
1-147465
AL
163WI0500X
Infusion Therapy Registered Nurse
Primary
1-147465
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-147465
PROFESSIONAL REGISTERED NURSE
AL
Enumeration date
07/26/2017
Last updated
07/21/2022
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