person
Vicki L Rose, PA
Medical Physician Assistant in Mankato, Minnesota
NPI 1669451589

Vicki L Rose is a Medical Physician Assistant based in Mankato, MN and is specialized in Medical. Vicki L Rose practices in Mankato, MN and has the professional credentials of PA. The NPI Number for Vicki L Rose is 1669451589 and holds a License No. 9544 (Minnesota).

The current practice location address for Vicki L Rose is 1230 E Main St, Mankato, MN and can be reached out via phone at 507-625-1811. You can also correspond with Vicki L Rose through the mailing address at PO BOX 8674, MANKATO, MN - 56002-8674 (mailing address contact number: 507-625-1811).

Location: 1230 E Main St, Mankato, MN, 56002-8674
person
Provider Profile Details
NPI Number
1669451589
Provider Name
Vicki L Rose
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1230 E Main St, Mankato, MN, 56002-8674
Phone Number
507-625-1811
Fax Number
Provider Enumeration Date
01/10/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2409706 01 MN AMERICAS PPO
NA2951024933 01 MN PREFERRED ONE
HP30956 01 MN HEALTH PARTNERS
0109946 01 MN MEDICA
57B74RO 01 MN BCBS
140087 01 MN UCARE
41084933956001C220 01 CHAMPUS
741190100 05 MN
institution
Provider Business Practice Location Address Details
Address
1230 E Main St
City
State
Zip
56002-8674
Phone Number
507-625-1811
Fax Number
person
Provider Business Mailing Address Details
Address
1230 E Main St
City
State
Zip
56002-8674
Phone Number
507-625-1811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
9544 (Minnesota)
Definition
Definition to come...
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