Rosvik, Holly Fairbanks

Rosvik, Holly Fairbanks is an individual health care provider with primary practice located at 701 W Morse Blvd , Orlando FL 32789. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rosvik, Holly Fairbanks can be contacted via phone (407) 629-5555.

Contact Information

Primary practice address
701 W Morse Blvd Orlando FL 32789
Phone: (407) 629-5555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN 3310302 Florida

Profile Details

NPI number 1407828155
LBN Legal business name Rosvik, Holly Fairbanks
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Apr 11th, 2013 - about 12 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 1407828155 NPPES
Florida Other RN 3310302 NURSING LICENSE

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