Andrea Joy Rose, RD LD
Dietitian, Registered in Topeka, KS. Individual provider (NPI-1).
NPI number1982209052
StatusActive
Last updated in NPPESDec 4, 2020
Details
- NPI
- 1982209052
- Entity type
- Individual (NPI-1)
- Name
- Andrea Joy Rose
- Credential
- RD LD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 4, 2020
- Certification date
- Dec 4, 2020
- Last updated
- Dec 4, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 000446 | KS | Yes |
Practice location
200 Sw Frazier CirTopeka, KS 66606-2800
Phone 800-726-7450
Mailing address
200 Sw Frazier CirTopeka, KS 66606-2800
Phone 800-726-7450
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