Individual
MS. MARI PAT ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
1407 SAINT ANDREW ST STE 100, LA CROSSE, WI 54603-2378
(608) 785-6266
(608) 785-6315
Mailing address
817 GEORGE ST, LA CROSSE, WI 54603-2673
(608) 519-1121
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
167141-30
WI
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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