Individual
ELIZABETH ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8900 HIGHWAY 7, MINNEAPOLIS, MN 55426-3919
(952) 929-0140
Mailing address
4656 EXCELSIOR BLVD, ST LOUIS PARK, MN 55416-4938
(952) 929-0140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R161065-1
MN
Other
Enumeration date
10/13/2010
Last updated
07/21/2022
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