| Organization Name: | ROSEWOOD PROFESSIONAL CENTER, LLC |
| NPI Number: | 1639302417 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KERRI LESLIE KREMER (OWNER) |
| Mailing Address: | 414 E. Woodin Ave Chelan |
| State: | WA US |
| Postal Code: | 988169648 |
| Phone Number: | 5098882209 |
| Fax Number: | 5098889449 |
| NPI Enumeration Date: | 08/27/2009 |
| NPI Last Update Date: | 02/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WM0705X |
| License Number: | RN00095775 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Medical-Surgical |
| Taxonomy Definition: | |