Rose, Vada Alberta

Rose, Vada Alberta is an individual health care provider with primary practice located at 1490 Park Ave Nw Suite 3, Norton VA 24273-1631. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rose, Vada Alberta can be contacted via phone (276) 679-8890.

Contact Information

Primary practice address
1490 Park Ave Nw Suite 3 Norton VA 24273-1631
Phone: (276) 679-8890
Fax: (276) 679-9740
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166719 Virginia

Profile Details

NPI number 1063523454
LBN Legal business name Rose, Vada Alberta
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 23rd, 2017 - about 9 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 1063523454 NPPES
Virginia MEDICAID 1063523454
Virginia MEDICAID 7100127160
Virginia Other P00686108

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