| Doctor Name: | MS. ANNA M ROSEN |
| NPI Number: | 1053741207 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APNP |
| License Number: | 5607-33 |
| Business Practice Address: | 9601 Townline Rd Minocqua, WI - 545489099 |
| Business Phone Number: | 6086920081 |
| Business Fax Number: | |
| Mailing Address: | 1340 Goldfinch Way, OCONOMOWOC |
| State: | WI |
| Postal Code: | 530666601 |
| Phone Number: | 6086920081 |
| Fax Number: | |
| NPI Enumeration Date: | 11/24/2013 |
| NPI Last Update Date: | 11/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 5607-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |