Individual
MR. ROBERT L ROSENTRETER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1101 NOBLE ST, FAIRBANKS, AK 99701-4924
(907) 458-0682
Mailing address
1101 NOBLE ST, FAIRBANKS, AK 99701-4924
(907) 458-0682
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
123046
AK
363LF0000X
Family Nurse Practitioner
Primary
189031
AK
Other
Enumeration date
11/12/2021
Last updated
02/03/2022
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