Individual
MRS. ELISA A ROTTINGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1423 STONE ST, FALLS CITY, NE 68355-2660
(402) 245-3232
(402) 245-4022
Mailing address
1423 STONE ST, FALLS CITY, NE 68355-2660
(402) 245-3232
(402) 245-4022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
15 00666
KS
363A00000X
Physician Assistant
Primary
1693
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066950D
—
KS
01
—
1693
STATE LICENSE
NE
Enumeration date
02/03/2006
Last updated
02/04/2013
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