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Individual

HEIDI MICHELLE ROSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, CNOR, RNFA

Contact information

Practice address
1069 W BROAD ST, SUITE 908, FALLS CHURCH, VA 22046-4610
(877) 230-9617
Mailing address
19878 NAPLES LAKES TER, ASHBURN, VA 20147-5255
(770) 880-5573

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
0001178703
VA

Other

Enumeration date
12/10/2012
Last updated
12/17/2012
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