| Ms Gwenivere Gordan Rose, | |
|
Off Hwy 191 Hospital Road, Chinle, AZ 86503 | |
| (928) 674-7001 | |
| (928) 674-7705 |
| Full Name | Ms Gwenivere Gordan Rose |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | Off Hwy 191 Hospital Road, Chinle, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972665081 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 805735 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Gwenivere Gordan Rose, Po Drawer Ph, Chinle, AZ 86503 Ph: (928) 674-7001 | Ms Gwenivere Gordan Rose, Off Hwy 191 Hospital Road, Chinle, AZ 86503 Ph: (928) 674-7001 |
Ms. Jane Louise Broughton, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Off Hwy 191 Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7705 | |
Ms. Britteny Johnson, RDN Dietitian Medicare: Medicare Enrolled Practice Location: Indian Route 102, Chinle, AZ 86503 Phone: 928-674-7891 | |
Ms. Latha Yatabe, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: Off Hwy 191 Hospital Road, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7705 | |
Carrie E. Thrasher, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705 | |
Erica L Cooper, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Highway 191 & Hospital Road, Chinle Ihs Hospital, Chinle, AZ 86503 Phone: 928-674-7001 Fax: 928-674-7705 | |
Cara Vandeberg, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: Highway 191 And Hospital Road, Chinle, AZ 86503 Phone: 928-674-7166 Fax: 928-674-7705 | |
Virginia Lois Woollens, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: Chinle Comprehensive Healthcare Facility, Us 191, Chinle, AZ 86503 Phone: 928-674-7001 |