Individual
VIRGINIA KELLI ROSAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
320 E 2ND ST, LIBBY, MT 59923-2010
(434) 200-9009
(434) 200-9005
Mailing address
320 E 2ND ST, LIBBY, MT 59923-2010
(406) 293-6900
(406) 293-6622
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R867210
MS
363LF0000X
Family Nurse Practitioner
0024170114
VA
363LF0000X
Family Nurse Practitioner
Primary
161179
MT
363LF0000X
Family Nurse Practitioner
8395
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851352389
—
VA
Enumeration date
04/02/2006
Last updated
02/09/2021
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