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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

AUDRA J ROSE, PA

Active

AUDRA J ROSE, PA is a Obstetrics & Gynecology healthcare provider located in IDAHO FALLS, Idaho. NPI 1487877619 is currently active in the NPPES registry. Verify at CMS.

Obstetrics & Gynecology · IDAHO FALLS, ID

Registration Details

NPI Number
1487877619
Provider Type
Individual
Gender
Female
NPI Issued
Apr 10, 2007 (19.367354808685 yrs)
Last Updated
Dec 29, 2023
Licenses
TL403 (WY)
M6628 (ID)

Practice Information

Address
3450 POTOMAC WAY
IDAHO FALLS, ID, 834047407
Browse ID providers · Browse ZIP 83404
Phone
2085572900
Fax
2085572910
Primary Specialty
Obstetrics & Gynecology
207V00000X
Additional Specialty
Obstetrics & Gynecology

Other Obstetrics & Gynecology Providers in IDAHO FALLS, ID

Name Credential NPI
DR. GLENN RALPH LEAVITT DO 1386644318
MATTHEW ROBISON DO 1194757393
MS. MARGARET C HUGGINS MD 1215040480
DR. R. DOUGLAS ISBELL M.D. 1750490546
DR. JAMES MICHAEL OLDROYD M D 1992897268
STEVEN W ROBISON MD 1710056577
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.