Individual
ROSE SIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1657
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
77996
NE
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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