Rose, Anne Marie

Rose, Anne Marie is an individual health care provider with primary practice located at 305 W Jackson St Ste 301 , Carbondale IL 62901-1474. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Rose, Anne Marie can be contacted via phone (618) 351-9300.

Contact Information

Primary practice address
305 W Jackson St Ste 301 Carbondale IL 62901-1474
Fax: (618) 351-9307
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209014499 Illinois

Profile Details

NPI number 1942754767
LBN Legal business name Rose, Anne Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2016
Last updated Mar 24th, 2022 - about 4 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 1942754767 NPPES
Illinois Other 214881 GROUP MEDICARE PTAN

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