Individual
WHITNEY NICOLE ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7700 E FLORENTINE RD STE 101, PRESCOTT VALLEY, AZ 86314-2245
(928) 442-8710
(928) 442-8742
Mailing address
PO BOX 10880, PRESCOTT, AZ 86304-0880
(602) 406-4786
(916) 636-4358
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
268323
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123792
—
AZ
Enumeration date
10/09/2021
Last updated
03/26/2025
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