Leland, Rosa Maribel

Leland, Rosa Maribel is an individual health care provider with primary practice located at 4101 John Deere Rd , Moline IL 61265-6790. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Leland, Rosa Maribel can be contacted via phone (309) 757-1905.

Contact Information

Primary practice address
4101 John Deere Rd Moline IL 61265-6790
Phone: (309) 757-1905
Fax: (309) 757-1906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A105946 Iowa
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209010841 Illinois

Profile Details

NPI number 1457789687
LBN Legal business name Leland, Rosa Maribel
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2013
Last updated Jun 27th, 2014 - about 10 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 1457789687 NPPES
Illinois Other 209010841 IL STATE LICENSE
Illinois Other A105946 IL STATE LICENSE

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