Individual
ANDREA RAE ROUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(554) 465-9378
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1562
(740) 441-1949
(740) 446-5982
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.025077
OH
Other
Enumeration date
07/10/2019
Last updated
11/25/2020
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