Individual
MS. LOUISE MOON ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1 WINOOSKI PARK, COLCHESTER, VT 05439-0001
(802) 654-2234
(802) 654-2699
Mailing address
28 TARBOX RD, JERICHO, VT 05465-9603
(802) 899-3073
(802) 654-2699
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
101-0023382
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
101-0023382
VT
Other
Enumeration date
11/17/2005
Last updated
06/16/2011
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