Individual
MRS. MELINDA KAY ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-7601
(608) 265-7581
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2883
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43958
WELLMARK BCBS
IA
Enumeration date
09/02/2005
Last updated
04/29/2009
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