Individual
ANGIE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2020002482
MO
363LF0000X
Family Nurse Practitioner
Primary
SP025778
PA
Other
Enumeration date
04/08/2020
Last updated
01/22/2025
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