person
Vada Alberta Rose, NP
Family Nurse Practitioner in Norton, Virginia
NPI 1063523454

Vada Alberta Rose is a Family Nurse Practitioner based in Norton, VA and is specialized in Family. Vada Alberta Rose practices in Norton, VA and has the professional credentials of NP. The NPI Number for Vada Alberta Rose is 1063523454 and holds a License No. 0024166719 (Virginia).

The current practice location address for Vada Alberta Rose is 1490 Park Ave Nw, Norton, VA and can be reached out via phone at 276-679-8890 and via fax at 276-679-9740.

Location: 1490 Park Ave Nw, Norton, VA, 24273-1631
person
Provider Profile Details
NPI Number
1063523454
Provider Name
Vada Alberta Rose
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
1490 Park Ave Nw, Norton, VA, 24273-1631
Phone Number
276-679-8890
Fax Number
276-679-9740
Provider Enumeration Date
08/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063523454 05 VA
7100127160 05 KY
P00686108 01 VA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1490 Park Ave Nw
City
State
Zip
24273-1631
Phone Number
276-679-8890
Fax Number
276-679-9740
person
Provider Business Mailing Address Details
Address
1490 Park Ave Nw
City
State
Zip
24273-1631
Phone Number
276-679-8890
Fax Number
276-679-9740
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
0024166719 (Virginia)
Definition
Definition to come...
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