Individual
NICKIE ANN ROSARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, ACNPC-AG
Contact information
Practice address
975 E 3RD ST, CHATTANOOGA, TN 37403-2147
(423) 778-7000
Mailing address
PO BOX 22971, CHATTANOOGA, TN 37422-2971
(423) 503-2414
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
25511
TN
363LF0000X
Family Nurse Practitioner
25511
TN
363LF0000X
Family Nurse Practitioner
RN284659
GA
Other
Enumeration date
03/13/2019
Last updated
12/10/2019
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