Individual
LORENA C DE LA ROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9900 BREN ROAD EAST, MAIL ROUTE MN 008-B213, MINNETONKA, MN 55343
(480) 216-1993
Mailing address
PO BOX 1459, MINNEAPOLIS, MN 55440-1459
(478) 538-0908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10469
AZ
363LF0000X
Family Nurse Practitioner
AP132170
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
296548
—
AZ
Enumeration date
10/12/2016
Last updated
06/25/2020
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