Individual
MS. ROSE ROWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
801 VASSAR DR NE, ALBUQUERQUE, NM 87106
(505) 248-4065
Mailing address
1703 ESCALANTE AVE SW, ALBUQUERQUE, NM 87104-1010
(505) 243-4674
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R29941
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
S5578
—
NM
Enumeration date
12/02/2008
Last updated
06/01/2018
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