Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAILEY J ROSE, DO
ActiveHAILEY J ROSE, DO is a Pediatrics healthcare provider located in BONNERS FERRY, Idaho. NPI 1679702088 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · BONNERS FERRY, ID
Registration Details
- NPI Number
- 1679702088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 7, 2009 (17.131832697793 yrs)
- Last Updated
- Sep 14, 2012
- License
-
LL1272 (SC)
Practice Information
- Address
-
6615 COMANCHE STKANIKSU HEALTH SERVICESBONNERS FERRY, ID, 83805Browse ID providers · Browse ZIP 83805
- Phone
- 2082671718
- Fax
- 2082679197
- Primary Specialty
-
Pediatrics
208000000X
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.