Individual
ANDREA ROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7836 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4165
(260) 750-4356
Mailing address
7836 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4165
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28148753
IN
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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