Individual
CHRISTOPHER JOE LA ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP, ANP, NP
Contact information
Practice address
300 E 8TH ST, GORDON, NE 69343-1199
(308) 282-0401
Mailing address
PO BOX 481, GORDON, NE 69343-0481
(417) 231-1210
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20211016497
MO
363LP2300X
Primary Care Nurse Practitioner
20211016497
MO
Other
Enumeration date
07/05/2021
Last updated
07/08/2021
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