Individual
TERRI JO ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
16909 LAKESIDE HILLS CT STE 300, OMAHA, NE 68130-4661
(402) 440-2576
Mailing address
27201 ALVO RD, ALVO, NE 68304-2019
(402) 440-2576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
APPLYING
NE
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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