Search › Idaho › 207V00000X
Audra Rose, PA
NPI 1487877619 · on the registry since 2007
Practice
- Address
- 3450 Potomac Way
Idaho Falls, ID 83404 - Phone
- (208) 557-2900
- Fax
- (208) 557-2910
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 207V00000X
207V00000X
- Also registered as
- 363A00000X
- Licence states on file
- WY, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-12-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho