Rosa, Whitney Nicole

Rosa, Whitney Nicole is an individual health care provider with primary practice located at 7700 E Florentine Rd Ste 101 , Prescott Valley AZ 86314-2245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Rosa, Whitney Nicole can be contacted via phone (928) 442-8710.

Contact Information

Primary practice address
7700 E Florentine Rd Ste 101 Prescott Valley AZ 86314-2245
Fax: (928) 442-8742
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 268323 Arizona

Profile Details

NPI number 1053073825
LBN Legal business name Rosa, Whitney Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2021
Last updated Mar 26th, 2025 - about last year

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 1053073825 NPPES
Arizona MEDICAID 123792

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