Individual
ROSANNE PRINCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC/A
Contact information
Practice address
555 E BROADWAY AVE STE 229, JACKSON, WY 83001
(307) 739-7665
(307) 739-4940
Mailing address
PO BOX 428, JACKSON, WY 83001-0428
(307) 739-7665
(307) 739-4940
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
A-990
WY
237600000X
Audiologist-Hearing Aid Fitter
Primary
A-990
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131893400
—
WY
Enumeration date
11/14/2007
Last updated
02/17/2021
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