Rose, Muriel Lisa

Rose, Muriel Lisa is an individual health care provider with primary practice located at 1066 S. Green Valley Rd. , Watsonville CA 95076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Rose, Muriel Lisa can be contacted via phone (831) 722-2422.

Contact Information

Primary practice address
1066 S. Green Valley Rd. Watsonville CA 95076
Fax: (831) 722-2855
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA11912 California

Profile Details

NPI number 1215080718
LBN Legal business name Rose, Muriel Lisa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 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 1215080718 NPPES
California Other PA11912 PA LICENSE

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