Individual
ASHLEY ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, MSN
Contact information
Practice address
6901 PORTAGE RD STE 210, PORTAGE, MI 49002-3702
(269) 341-8513
Mailing address
6901 PORTAGE RD STE 210, PORTAGE, MI 49002-3702
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
4704278387
MI
Other
Enumeration date
04/07/2020
Last updated
04/07/2020
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