Mcintosh, Rose Marie

Mcintosh, Rose Marie is an individual health care provider with primary practice located at 821 N Nellis Blvd Ste 100 , Las Vegas NV 89110-5387. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Mcintosh, Rose Marie can be contacted via phone (702) 438-4003.

Contact Information

Primary practice address
821 N Nellis Blvd Ste 100 Las Vegas NV 89110-5387
Phone: (702) 438-4003
Fax: (702) 438-0555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024114970 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13826 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 819101 Nevada

Profile Details

NPI number 1063470417
LBN Legal business name Mcintosh, Rose Marie
Credentials FNPC CS
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated May 16th, 2019 - about 5 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 1063470417 NPPES
Nevada Other 8919101 STATE LICENSE
Nevada Other ZZZ31887Z STATE LICENSE
Nevada MEDICAID 1063470417 STATE LICENSE

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