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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063470417 | NPPES |
| Nevada | Other | 8919101 | STATE LICENSE |
| Nevada | Other | ZZZ31887Z | STATE LICENSE |
| Nevada | MEDICAID | 1063470417 | STATE LICENSE |
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