Emily Rose, is a
Student In An Organized Health Care Education/training Program based in Henderson, Nevada. Emily Rose is licensed to practice in * (Not Available) (license number ) and her current practice location is
874 American Pacific Dr, Henderson, Nevada. She can be reached at her office (for appointments etc.) via phone at
(702) 777-8687.
NPI number for Emily Rose is 1164244257 and her current mailing address is Po Box 10742, Bainbridge Island, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164244257.
Provider's Profile
| Full Name | Emily Rose |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 874 American Pacific Dr, Henderson, Nevada |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164244257
- Provider Enumeration Date: 10/29/2024
- Last Update Date: 01/10/2025
Medical Identifiers
Medical identifiers for Emily Rose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164244257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA61637718 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Rose is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Emily Rose,
Po Box 10742,
Bainbridge Island, WA 98110-0742
Ph: () - | Emily Rose,
874 American Pacific Dr,
Henderson, NV 89014-8800
Ph: (702) 777-8687 |
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