Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANA WIDICK ROSE, M.D.
ActiveSHANA WIDICK ROSE, M.D. is a Ophthalmology healthcare provider located in FENTON, Missouri. NPI 1508020645 is currently active in the NPPES registry. Verify at CMS.
Ophthalmology · FENTON, MO
Registration Details
- NPI Number
- 1508020645
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 17, 2008 (18.108666758353 yrs)
- Last Updated
- Jan 23, 2015
- License
-
2011014018 (MO)
Practice Information
- Address
-
1011 BOWLES AVESUITE 415FENTON, MO, 630262395Browse MO providers · Browse ZIP 63026
- Phone
- 6367171700
- Fax
- 6362034727
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in FENTON, MO
| Name | Credential | NPI |
|---|---|---|
| DR. BRENT RYAN DAVIDSON | M.D. | 1437127065 |
| DR. ANDREW JACOB POLK | MD | 1528697448 |
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.