Individual
MRS. ROSE M EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-7541
Mailing address
1101 MICHIGAN AVE, LOGANSPORT, IN 46947-1528
(574) 753-7541
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71000503A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000881719
ANTHEM
IN
05
—
200229210
—
IN
Enumeration date
07/18/2005
Last updated
11/04/2014
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