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Individual

MRS. MARTHA DEBORAH ROSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4000
Mailing address
20416 BLOOMINGVILLE CT, GERMANTOWN, MD 20876-5648
(301) 540-8647
(301) 540-8647

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R116317
MD
363LF0000X
Family Nurse Practitioner
Primary
RN40365
DC

Other

Enumeration date
11/27/2008
Last updated
11/01/2022
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