Individual
DEBORAH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 455-3854
Mailing address
PO BOX 462, LIBERTY LAKE, WA 99019-0462
(509) 484-8069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30005902
WA
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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