Organization
INDIAN HEALTH SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROSE ROWAN NURSE PRACTITIONER (NURSE PRACTITIONER)
(505) 248-4065
Entity
Organization
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4065
(505) 248-4088
Mailing address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106-2725
(505) 248-4065
(505) 248-4088
Taxonomy
Speciality
Code
Description
License number
State
261QP0904X
Federal Public Health Clinic/Center
Primary
R29941
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000S5578
—
NM
Enumeration date
12/22/2005
Last updated
05/26/2011
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