Individual
ROSA JUAREZ NALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
710 E 6TH ST, ODESSA, TX 79761-4655
(254) 245-9175
(254) 213-7771
Mailing address
PO BOX 610344, DALLAS, TX 75261-0344
(254) 245-9175
(254) 213-7771
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
908806
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1095949
TX
Other
Enumeration date
07/26/2022
Last updated
01/12/2026
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