Moore, Rosemary Jean

Moore, Rosemary Jean is an individual health care provider with primary practice located at 5101 Minnehaha Ave , Minneapolis MN 55417-1647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Moore, Rosemary Jean can be contacted via phone (612) 728-1291.

Contact Information

Primary practice address
5101 Minnehaha Ave Minneapolis MN 55417-1647
Phone: (612) 728-1291
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R1186101 Minnesota

Profile Details

NPI number 1255325841
LBN Legal business name Moore, Rosemary Jean
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Nov 18th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255325841 NPPES
Minnesota MEDICAID 806665500

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