Individual
SHEILA ROSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 MACARTHUR BLVD STE 29, MUNSTER, IN 46321-2917
(219) 531-2333
Mailing address
800 MACARTHUR BLVD STE 29, MUNSTER, IN 46321-2917
(219) 531-2333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28114696A
IN
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
71007942A
IN
Other
Enumeration date
04/10/2018
Last updated
05/08/2018
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