Rose, Noreen Ellen

Rose, Noreen Ellen is an individual health care provider with primary practice located at 1136 Westowne Dr , Neenah WI 54956. 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 / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rose, Noreen Ellen can be contacted via phone (920) 456-2023.

Contact Information

Primary practice address
1136 Westowne Dr Neenah WI 54956
Phone: (920) 456-2023
Fax: (920) 456-2025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1277-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1277-033 Wisconsin

Profile Details

NPI number 1457371890
LBN Legal business name Rose, Noreen Ellen
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Dec 3rd, 2021 - about 3 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 1457371890 NPPES
Wisconsin MEDICAID 1457371890

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