Individual
KATHLEEN ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Mailing address
508 FULTON ST, DURHAM, NC 27705-3875
(919) 286-0411
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
263397
NC
363LF0000X
Family Nurse Practitioner
Primary
5020730
NC
Other
Enumeration date
07/05/2022
Last updated
08/26/2024
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