Individual
DANA S ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1919 N AMIDON AVE, STE. 130, WICHITA, KS 67203-2117
(316) 660-7675
(316) 832-1571
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
14-77733-021
KS
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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