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Contact Information

VADA A ROSE, NP
1490 PARK AVE NW
SUITE 3
NORTON, VA24273-1631
 Phone: 276-679-8890
 Fax: 276-679-9740
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VADA A ROSE · (Female)

NPI # 1063523454
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 08/31/2006
Last updated 02/23/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0024166719
  • KY Medicaid 7100127160
  • VA Medicaid 1063523454
  • VA Other P00686108 RAILROAD MEDICARE
Hospital affiliation(s)
  • DICKENSON COMMUNITY HOSPITAL - (Critical Access)
    312 HOSPITAL DRIVE
    CLINTWOOD, VA 24228
  • INDIAN PATH MEDICAL CENTER - (Acute Care)
    2000 BROOKSIDE DR
    KINGSPORT, TN 37660
  • WELLMONT LONESOME PINE HOSPITAL - (Acute Care)
    1990 HOLTON AVENUE EAST
    BIG STONE GAP, VA 24219
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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