Individual
ROSE MARIE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNPC CS
Contact information
Practice address
821 N NELLIS BLVD STE 100, LAS VEGAS, NV 89110-5387
(702) 438-4003
(702) 438-0555
Mailing address
PO BOX 98978, LAS VEGAS, NV 89193-8978
(702) 216-3346
(702) 671-6883
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024114970
VA
363L00000X
Nurse Practitioner
13826
CA
363LF0000X
Family Nurse Practitioner
Primary
819101
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063470417
—
NV
01
—
8919101
STATE LICENSE
NV
01
—
ZZZ31887Z
CORPORATE PTAN NUMBER
CA
Enumeration date
05/03/2006
Last updated
05/16/2019
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