Individual
KATHERINE JULIA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL DR, LEBANON, NH 03756-0001
(603) 650-5529
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
078560-23
NH
Other
Enumeration date
07/09/2020
Last updated
07/27/2020
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