Individual
AMY ROSELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3124 ROSS CLARK CIR, DOTHAN, AL 36303-3038
(334) 678-9123
(334) 678-9124
Mailing address
3124 ROSS CLARK CIR, DOTHAN, AL 36303-3038
(334) 678-9123
(334) 678-9124
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-090081
AL
363LG0600X
Gerontology Nurse Practitioner
1-090081
AL
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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